Physician
Northside Pediatrics PC
Northside Pediatrics PC was paid $792K by Medicaid between Jan 2018 and Apr 2021, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoNORTHSIDE PEDIATRICS PC
BATTLE CREEK, MI 49017
BATTLE CREEK, MI 49017
33aNPI1356300073assigned 03/21/2006
33bProvider typePediatrics Physician
28Total paid$792K
24GClaims21,661
24DCodes billed40
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#134 of 349
Median peer was paid$321K
This provider vs. median2.5×
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 | 8,619 | $328K | |
| 2019 | 6,439 | $247K | |
| 2020 | 4,623 | $156K | |
| 2021 | 1,980 | $62K |
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 | 41% | 4,240 | 3,671 | $322K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 3,482 | 3,170 | $180K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.5% | 847 | 843 | $60K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 666 | 665 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.6% | 584 | 578 | $44K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 673 | 651 | $42K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 233 | 209 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 1,952 | 1,640 | $17K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 1,181 | 1,178 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 1,890 | 1,874 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 883 | 844 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 278 | 273 | $4K |
28 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 88 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 255 | $2K |
| 96127 | <1% | 451 | $1K | |
| 99051 | <1% | 149 | $842.10 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 57 | $749.75 |
| 99188 | <1% | 85 | $561.33 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 59 | $440.69 |
| 90474 | <1% | 43 | $416.87 | |
| 90651 | <1% | 130 | $229.34 | |
| 81002 | <1% | 72 | $146.12 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $126.00 |
| 90473 | <1% | 41 | $122.94 | |
| 1160F | <1% | 683 | $4.70 | |
| 90680 | 0% | 57 | $0.00 | |
| 90686 | 0% | 528 | $0.00 | |
| 90716 | 0% | 61 | $0.00 | |
| 90698 | 0% | 176 | $0.00 | |
| 90647 | 0% | 298 | $0.00 | |
| 90723 | 0% | 311 | $0.00 | |
| 90620 | 0% | 42 | $0.00 | |
| 90744 | 0% | 27 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 90670 | 0% | 601 | $0.00 | |
| 90707 | 0% | 89 | $0.00 | |
| 90715 | 0% | 38 | $0.00 | |
| 90633 | 0% | 148 | $0.00 | |
| 90734 | 0% | 160 | $0.00 | |
| 90681 | 0% | 78 | $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 officialANSELL, APRIL (BILLING MANAGER)