Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WA › Mill Creek › NPI 1265085682
Physician

North Sound Pediatrics

North Sound Pediatrics was paid $1.73M by Medicaid between Dec 2019 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoNORTH SOUND PEDIATRICS
MILL CREEK, WA 98012
33aNPI1265085682assigned 07/24/2019
33bProvider typePediatrics Physician
28Total paid$1.73M
24GClaims34,581
24DCodes billed46
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Washington

Rank by total paid#19 of 110
Median peer was paid$57K
This provider vs. median31×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201914$1K
2020114$7K
20216,945$344K
202210,845$534K
20238,202$454K
2024incomplete8,461$392K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 4,654 4,259 $531K
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% 4,060 3,714 $329K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.3% 1,479 1,459 $143K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.6% 2,602 2,404 $131K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.3% 1,316 1,278 $127K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.9% 977 959 $102K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.3% 1,045 1,023 $92K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 4.4% 2,106 1,959 $76K
92551 1.1% 2,631 2,569 $19K
90700 1.1% 1,134 1,092 $18K
90686 <1% 788 783 $15K
90713 <1% 846 816 $14K
34 more codes
90633 <1% 887 $14K
90648 <1% 744 $13K
81002 <1% 2,877 $9K
0072A <1% 213 $8K
0071A <1% 195 $8K
90716 <1% 385 $7K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 742 $7K
90707 <1% 383 $6K
0001A <1% 149 $6K
0002A <1% 147 $6K
90670 <1% 294 $6K
90651 <1% 324 $5K
90744 <1% 257 $5K
99401 <1% 267 $5K
90734 <1% 200 $3K
90680 <1% 158 $3K
99383 <1% 26 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 250 $3K
90677 <1% 165 $2K
99204 Doctor's office visit, new patient (more involved) <1% 12 $2K
0012A <1% 45 $2K
90715 <1% 97 $1K
99382 <1% 12 $1K
0004A <1% 35 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 53 $1K
0011A <1% 31 $1K
90461 <1% 311 $1K
0074A <1% 24 $960.00
0154A <1% 16 $640.00
90656 <1% 96 $587.26
0081A <1% 12 $480.00
85013 <1% 63 $393.17
94760 <1% 77 $29.16
99072 0% 1,396 $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 officialSHLAFER, STEPHEN (MD/PRESIDENT)