Physician
Southeastern Pediatric & Adolescent Medicine, S.C.
Southeastern Pediatric & Adolescent Medicine, S.C. was paid $922K by Medicaid between Jan 2018 and Oct 2020, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoSOUTHEASTERN PEDIATRIC & ADOLESCENT MEDICINE, S.C.
MILWAUKEE, WI 53222
MILWAUKEE, WI 53222
33aNPI1457483612assigned 03/12/2007
33bProvider typePediatrics Physician
28Total paid$922K
24GClaims49,011
24DCodes billed34
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#14 of 200
Median peer was paid$4K
This provider vs. median211×
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 | 20,080 | $363K | |
| 2019 | 19,625 | $362K | |
| 2020 | 9,306 | $197K |
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 | 21% | 6,523 | 6,021 | $196K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 2,511 | 2,443 | $146K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13% | 2,059 | 2,008 | $119K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 1,597 | 1,562 | $94K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 1,166 | 1,119 | $68K |
| 99173 | 7.4% | 3,691 | 3,569 | $68K | |
| 92551 | 7.1% | 5,289 | 5,098 | $66K | |
| 3008F | 6.3% | 5,898 | 5,690 | $58K | |
| 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 | 2.4% | 482 | 445 | $22K |
| 99000 | 2.3% | 5,482 | 5,241 | $21K | |
| 90686 | 1.1% | 2,805 | 2,727 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 739 | 718 | $9K |
22 more codes
| 81003 | <1% | 3,334 | $8K | |
| 90698 | <1% | 850 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 170 | $4K |
| 90670 | <1% | 823 | $4K | |
| 81001 | <1% | 942 | $3K | |
| 90651 | <1% | 688 | $3K | |
| 90620 | <1% | 305 | $3K | |
| 90734 | <1% | 607 | $3K | |
| 90707 | <1% | 393 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 125 | $2K |
| 90633 | <1% | 344 | $2K | |
| 90716 | <1% | 333 | $1K | |
| 90680 | <1% | 324 | $1K | |
| 90715 | <1% | 239 | $1K | |
| 90744 | <1% | 234 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 45 | $713.92 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $538.04 |
| 81000 | <1% | 64 | $256.64 | |
| 90700 | <1% | 52 | $214.65 | |
| 90713 | <1% | 34 | $134.79 | |
| 90696 | <1% | 28 | $129.83 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 803 | $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 officialDELTORO, ROSIE (ASSISTANT OFFICE MANAGER)