Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MILWAUKEE › SOUTHEASTERN PEDIATRIC & ADOLESCENT MEDICINE, S.C.

SOUTHEASTERN PEDIATRIC & ADOLESCENT MEDICINE, S.C.

NPI: 1457483612 · MILWAUKEE, WI 53222 · Pediatrics Physician · NPI assigned 03/12/2007

$922K
Total Medicaid Paid
49,011
Total Claims
46,990
Beneficiaries
34
Codes Billed
2018-01
First Month
2020-10
Last Month

Provider Details

Authorized OfficialDELTORO, ROSIE (ASSISTANT OFFICE MANAGER)
NPI Enumeration Date03/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,080 $363K
2019 19,625 $362K
2020 9,306 $197K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,523 6,021 $196K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,511 2,443 $146K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,059 2,008 $119K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,597 1,562 $94K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,166 1,119 $68K
99173 3,691 3,569 $68K
92551 5,289 5,098 $66K
3008F 5,898 5,690 $58K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 482 445 $22K
99000 5,482 5,241 $21K
90686 2,805 2,727 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 739 718 $9K
81003 3,334 3,149 $8K
90698 850 835 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 170 163 $4K
90670 823 806 $4K
81001 942 904 $3K
90651 688 672 $3K
90620 305 292 $3K
90734 607 582 $3K
90707 393 384 $2K
D1208 Topical application of fluoride, excluding varnish 125 122 $2K
90633 344 341 $2K
90716 333 326 $1K
90680 324 318 $1K
90715 239 234 $1K
90744 234 230 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 45 43 $713.92
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 32 16 $538.04
81000 64 62 $256.64
90700 52 48 $214.65
90713 34 30 $134.79
90696 28 28 $129.83
36415 Collection of venous blood by venipuncture 803 764 $0.00