Physician
Mercer Island Pediatric Associates
Mercer Island Pediatric Associates was paid $28K by Medicaid between Jan 2018 and Mar 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.
33Billing provider infoMERCER ISLAND PEDIATRIC ASSOCIATES
MERCER ISLAND, WA 98040
MERCER ISLAND, WA 98040
33aNPI1336349422assigned 07/18/2007
33bProvider typePediatrics Physician
28Total paid$28K
24GClaims788
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in Washington
Rank by total paid#61 of 110
Median peer was paid$57K
This provider vs. median0.5×
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 | 157 | $7K | |
| 2019 | 74 | $4K | |
| 2020 | 45 | $2K | |
| 2021 | 308 | $3K | |
| 2022 | 46 | $2K | |
| 2023 | 95 | $6K | |
| 2024incomplete | 63 | $4K |
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 | 86% | 381 | 348 | $24K |
| 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 | 7.9% | 31 | 25 | $2K |
| 90688 | 3.1% | 59 | 58 | $859.30 | |
| 90686 | 1.4% | 29 | 29 | $403.66 | |
| 90480 | 1.4% | 12 | 12 | $400.00 | |
| 99173 | <1% | 14 | 14 | $18.67 | |
| 99072 | 0% | 262 | 247 | $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 officialELLNER, JULIE (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Ellner Bariatric INC | San Diego, CA | $879K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.