Physician
Sartell Pediatrics, P.A.
Sartell Pediatrics, P.A. was paid $2.41M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoSARTELL PEDIATRICS, P.A.
SARTELL, MN 56377
SARTELL, MN 56377
33aNPI1215203898assigned 03/28/2012
33bProvider typePediatrics Physician
28Total paid$2.41M
24GClaims80,126
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Minnesota
Rank by total paid#5 of 33
Median peer was paid$13K
This provider vs. median183×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,439 | $45K | |
| 2019 | 6,160 | $171K | |
| 2020 | 9,161 | $240K | |
| 2021 | 19,192 | $503K | |
| 2022 | 14,150 | $468K | |
| 2023 | 14,532 | $503K | |
| 2024incomplete | 12,492 | $479K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 6,233 | 5,830 | $474K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 8,773 | 8,184 | $446K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 7.3% | 4,779 | 1,347 | $176K |
| 87631 | 7.0% | 1,271 | 1,176 | $170K | |
| 97533 | 6.1% | 1,978 | 576 | $147K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 4,634 | 4,419 | $134K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.4% | 2,245 | 1,436 | $130K |
| X5622 | 4.2% | 1,568 | 1,483 | $100K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 4.0% | 2,257 | 755 | $96K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 1,276 | 1,244 | $90K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 804 | 795 | $54K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.0% | 623 | 456 | $47K |
53 more codes
| 96127 | 1.2% | 9,533 | $30K | |
| 87428 | 1.1% | 457 | $27K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 410 | $26K |
| 92551 | 1.1% | 4,205 | $25K | |
| 99177 | <1% | 5,678 | $23K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,360 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,655 | $21K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 435 | $21K |
| 99188 | <1% | 2,653 | $17K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 472 | $17K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 108 | $16K |
| 99072 | <1% | 6,169 | $14K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 72 | $13K |
| 99000 | <1% | 2,023 | $13K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 328 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 104 | $9K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 91 | $6K |
| 87632 | <1% | 19 | $4K | |
| 0001A | <1% | 122 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 252 | $4K |
| 0002A | <1% | 98 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 80 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 205 | $2K |
| 0071A | <1% | 49 | $2K | |
| 0072A | <1% | 44 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 544 | $2K |
| 83655 | <1% | 67 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $1K |
| 99383 | <1% | 13 | $1K | |
| 96161 | <1% | 757 | $944.08 | |
| 90686 | <1% | 1,524 | $771.44 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 84 | $635.87 |
| 90785 | <1% | 77 | $590.28 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 26 | $526.39 |
| 90461 | <1% | 18 | $455.28 | |
| 36416 | <1% | 129 | $436.11 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $343.24 |
| 90670 | <1% | 388 | $245.72 | |
| 96160 | <1% | 26 | $42.34 | |
| 85018 | <1% | 12 | $28.92 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 348 | $0.00 |
| 90734 | 0% | 13 | $0.00 | |
| 91300 | 0% | 320 | $0.00 | |
| 90633 | 0% | 142 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90697 | 0% | 42 | $0.00 | |
| 91307 | 0% | 148 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| 90656 | 0% | 52 | $0.00 | |
| 90744 | 0% | 48 | $0.00 | |
| 90698 | 0% | 194 | $0.00 | |
| 90680 | 0% | 27 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSMITH, DAVID (OWNER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.