MENDAKOTA PEDIATRICS LTD
NPI: 1497739320
· WEST ST PAUL, MN 55118
· Pediatrics Physician
$138K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
678 |
$4K |
| 2019 |
548 |
$10K |
| 2020 |
300 |
$7K |
| 2021 |
321 |
$15K |
| 2022 |
678 |
$28K |
| 2023 |
1,416 |
$52K |
| 2024 |
513 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,770 |
1,580 |
$97K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
618 |
593 |
$26K |
| 90460 |
|
206 |
187 |
$6K |
| 96127 |
|
741 |
681 |
$3K |
| 96110 |
|
224 |
203 |
$2K |
| 92551 |
|
175 |
163 |
$1K |
| 99393 |
|
13 |
12 |
$1K |
| 99391 |
|
13 |
12 |
$833.33 |
| 90471 |
|
74 |
70 |
$616.08 |
| 90686 |
|
289 |
268 |
$480.89 |
| 99394 |
|
12 |
12 |
$275.10 |
| 99173 |
|
174 |
162 |
$256.71 |
| 90461 |
|
12 |
12 |
$246.67 |
| X5622 |
|
121 |
117 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |