NP / PA
Community Pediatrics SC
Community Pediatrics SC was paid $603K by Medicaid between Jan 2018 and Oct 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoCOMMUNITY PEDIATRICS SC
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
33aNPI1275749566assigned 05/15/2007
33bProvider typePediatric Nurse Practitioner
28Total paid$603K
24GClaims35,852
24DCodes billed34
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Wisconsin
Rank by total paid#1 of 16
Median peer was paid$10K
This provider vs. median62×
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 | 4,639 | $87K | |
| 2019 | 4,422 | $83K | |
| 2020 | 6,871 | $91K | |
| 2021 | 5,990 | $90K | |
| 2022 | 5,277 | $85K | |
| 2023 | 5,745 | $92K | |
| 2024incomplete | 2,908 | $76K |
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 | 31% | 4,776 | 4,012 | $190K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 5,538 | 4,605 | $146K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 1,691 | 1,485 | $79K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.5% | 1,279 | 1,029 | $57K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 707 | 649 | $33K |
| 3008F | 4.2% | 3,339 | 2,991 | $25K | |
| 99188 | 4.0% | 2,381 | 2,109 | $24K | |
| 99173 | 2.2% | 921 | 831 | $14K | |
| 90686 | 1.5% | 2,521 | 2,243 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 345 | 293 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 147 | 121 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,456 | 4,743 | $3K |
22 more codes
| 90648 | <1% | 576 | $2K | |
| 90670 | <1% | 594 | $2K | |
| 90672 | <1% | 121 | $2K | |
| 0071A | <1% | 54 | $1K | |
| 90461 | <1% | 2,017 | $1K | |
| 36416 | <1% | 559 | $880.54 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | $840.95 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $814.22 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 59 | $793.98 |
| 90677 | <1% | 38 | $748.21 | |
| 90656 | <1% | 42 | $540.00 | |
| 90723 | <1% | 148 | $506.13 | |
| 94760 | <1% | 272 | $451.89 | |
| 83655 | <1% | 47 | $354.77 | |
| 0072A | <1% | 22 | $234.69 | |
| 85018 | <1% | 134 | $220.49 | |
| 90633 | <1% | 22 | $29.79 | |
| 99072 | <1% | 1,491 | $6.50 | |
| 91307 | <1% | 111 | $0.10 | |
| 91300 | 0% | 14 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 305 | $0.00 |
| 99174 | 0% | 94 | $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 officialLARSON, DOROTHY (ACCOUNT MANAGER)