Physician
South Pointe Pediatrics, PLLC
South Pointe Pediatrics, PLLC was paid $1.89M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoSOUTH POINTE PEDIATRICS, PLLC
BROKEN ARROW, OK 74012
BROKEN ARROW, OK 74012
33aNPI1235399122assigned 06/13/2008
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.89M
24GClaims30,978
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Oklahoma
Rank by total paid#4 of 7
Median peer was paid$1.89M
This provider vs. median1.0×
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.
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 | 3,673 | $234K | |
| 2019 | 2,926 | $198K | |
| 2020 | 3,460 | $192K | |
| 2021 | 4,948 | $310K | |
| 2022 | 6,057 | $362K | |
| 2023 | 6,143 | $368K | |
| 2024incomplete | 3,771 | $226K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 9,445 | 8,965 | $680K |
| 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 | 17% | 3,361 | 3,208 | $320K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 2,690 | 2,690 | $248K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 2,833 | 2,703 | $246K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 5,714 | 5,687 | $231K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 691 | 691 | $62K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 635 | 626 | $30K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 683 | 672 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 101 | 101 | $10K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 195 | 194 | $9K |
| 99460 | <1% | 66 | 66 | $6K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 153 | 153 | $6K |
23 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 380 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 52 | $3K |
| 96127 | <1% | 816 | $3K | |
| 99381 | <1% | 27 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 30 | $2K |
| 83655 | <1% | 189 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 25 | $780.25 |
| 87420 | <1% | 39 | $482.43 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 38 | $346.38 |
| 85018 | <1% | 99 | $211.22 | |
| 90661 | <1% | 43 | $4.00 | |
| 90633 | <1% | 123 | $3.00 | |
| 90723 | 0% | 441 | $0.00 | |
| 90647 | 0% | 393 | $0.00 | |
| 90686 | 0% | 493 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90670 | 0% | 659 | $0.00 | |
| 90671 | 0% | 197 | $0.00 | |
| 96160 | 0% | 224 | $0.00 | |
| 90681 | 0% | 93 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90700 | 0% | 13 | $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 officialSULLIVAN, JULIE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Great Care Home Health, INC. | Indianapolis, IN | $255K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.