Clinic
Southdale Pediatric Associates, LTD
Southdale Pediatric Associates, LTD was paid $5.35M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoSOUTHDALE PEDIATRIC ASSOCIATES, LTD
EDINA, MN 55435
EDINA, MN 55435
33aNPI1245305895assigned 11/21/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$5.35M
24GClaims217,826
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#16 of 87
Median peer was paid$1.04M
This provider vs. median5.2×
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 | 48,188 | $426K | |
| 2019 | 47,962 | $1.14M | |
| 2020 | 42,516 | $1.01M | |
| 2021 | 39,229 | $1.15M | |
| 2022 | 18,491 | $739K | |
| 2023 | 11,512 | $487K | |
| 2024incomplete | 9,928 | $400K |
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 | 30% | 31,414 | 27,995 | $1.60M |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 19% | 26,177 | 23,797 | $1.02M |
| X5622 | 11% | 11,189 | 9,703 | $587K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 5,576 | 5,129 | $297K |
| 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 | 5.5% | 4,422 | 4,123 | $293K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 13,711 | 12,328 | $272K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 5,526 | 4,790 | $248K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 4,205 | 3,917 | $212K |
| 90461 | 2.2% | 7,337 | 6,573 | $120K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.8% | 1,362 | 1,284 | $98K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 1,620 | 1,511 | $95K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.3% | 2,165 | 2,050 | $71K |
61 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,718 | $51K |
| 92551 | <1% | 9,560 | $43K | |
| 99000 | <1% | 4,752 | $38K | |
| 99188 | <1% | 5,320 | $38K | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 1,182 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,144 | $29K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,333 | $27K |
| 95117 | <1% | 2,636 | $17K | |
| 87070 | <1% | 2,419 | $13K | |
| 99072 | <1% | 4,995 | $13K | |
| 83655 | <1% | 1,129 | $12K | |
| 90686 | <1% | 6,320 | $11K | |
| 96127 | <1% | 3,437 | $11K | |
| 36416 | <1% | 4,385 | $11K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 226 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,779 | $8K |
| 99460 | <1% | 132 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 76 | $8K |
| 99173 | <1% | 7,970 | $7K | |
| 85027 | <1% | 1,437 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 147 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 134 | $5K |
| 85007 | <1% | 1,796 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,016 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 478 | $4K |
| 85018 | <1% | 1,898 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 194 | $3K |
| 80061 | Lipid panel | <1% | 197 | $2K |
| 90670 | <1% | 3,967 | $2K | |
| 96161 | <1% | 1,042 | $1K | |
| 90480 | <1% | 85 | $1K | |
| 90651 | <1% | 890 | $1K | |
| 90734 | <1% | 630 | $1K | |
| 99383 | <1% | 12 | $946.20 | |
| 90716 | <1% | 1,431 | $664.17 | |
| 81001 | <1% | 235 | $663.25 | |
| 94010 | <1% | 28 | $483.65 | |
| 90688 | <1% | 1,043 | $434.80 | |
| 90680 | <1% | 2,348 | $406.12 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 131 | $388.27 |
| 90656 | <1% | 178 | $358.60 | |
| 90698 | <1% | 3,697 | $322.42 | |
| 99070 | <1% | 229 | $316.64 | |
| 90707 | <1% | 1,217 | $311.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 32 | $257.24 |
| 0002A | <1% | 14 | $247.76 | |
| 90633 | <1% | 1,621 | $240.47 | |
| 0001A | <1% | 15 | $209.70 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 18 | $165.73 |
| 91321 | <1% | 55 | $148.63 | |
| 90697 | <1% | 54 | $134.02 | |
| 99384 | <1% | 16 | $114.88 | |
| 90744 | <1% | 1,723 | $114.30 | |
| 90715 | <1% | 215 | $66.43 | |
| 90696 | <1% | 274 | $63.41 | |
| 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) | <1% | 1,345 | $56.04 |
| 82465 | <1% | 16 | $5.68 | |
| 90677 | <1% | 46 | $0.04 | |
| 90685 | 0% | 647 | $0.00 | |
| 91300 | 0% | 37 | $0.00 | |
| 90687 | 0% | 21 | $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 officialOSTER, VICKI (PRESIDENT)