Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC PARTNERS L.L.C.

NPI: 1265432223 · FREMONT, NE 68025 · Pediatrics Physician · NPI assigned 07/29/2005

$2.83M
Total Medicaid Paid
57,335
Total Claims
55,080
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACDONALD, MADELEINE (PHYSICIAN SHAREHOLDER)
NPI Enumeration Date07/29/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,879 $304K
2019 6,346 $331K
2020 6,964 $297K
2021 8,572 $379K
2022 10,167 $522K
2023 10,393 $552K
2024 9,014 $440K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,141 20,884 $1.37M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,364 4,972 $466K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,470 3,404 $315K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,436 2,339 $201K
90686 4,002 3,953 $63K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 651 645 $60K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 554 547 $52K
90670 2,892 2,824 $47K
90698 2,601 2,559 $42K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,119 1,088 $37K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 356 354 $36K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 214 212 $28K
90680 1,578 1,553 $28K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 759 674 $14K
90744 656 645 $11K
90633 447 442 $7K
99238 Hospital discharge day management, 30 minutes or less 101 96 $7K
90677 568 565 $7K
90697 346 343 $5K
99460 30 30 $3K
90656 308 308 $3K
83655 214 208 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 154 152 $2K
90651 142 140 $2K
90685 212 210 $2K
85018 891 877 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 35 35 $2K
99173 690 681 $1K
90734 81 81 $1K
90715 57 57 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 13 13 $842.40
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $780.78
90619 32 31 $539.18
90716 24 24 $475.68
90707 24 24 $475.68
90710 29 29 $430.36
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $181.83
88720 38 35 $175.70
90696 14 14 $152.88
S9451 Exercise classes, non-physician provider, per session 595 594 $77.56
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 180 176 $45.23
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,782 2,749 $0.00
36416 106 101 $0.00
99080 404 387 $0.00