Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Suburban Pediatrics INC

Suburban Pediatrics INC was paid $1.25M by Medicaid between Jun 2020 and Sep 2022, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoSUBURBAN PEDIATRICS INC
ST LOUIS, MO 63141
33aNPI1538214770assigned 01/25/2007
33bProvider typePediatrics Physician
28Total paid$1.25M
24GClaims28,690
24DCodes billed37
24AFirst – last monthJun 2020 – Sep 2022
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#31 of 992
Median peer was paid$40K
This provider vs. median31×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20204,893$193K
202113,270$545K
202210,527$516K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 8,903 8,444 $405K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 1,794 1,783 $143K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 1,697 1,681 $140K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.9% 1,461 1,390 $125K
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 9.8% 1,812 1,770 $122K
92551 8.0% 3,831 3,771 $101K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.6% 994 986 $83K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4.6% 1,614 1,598 $57K
90698 <1% 342 340 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 673 334 $9K
90686 <1% 1,460 1,456 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 508 500 $7K
25 more codes
90670 <1% 859 $6K
0072A <1% 162 $6K
0071A <1% 152 $6K
90700 <1% 230 $5K
87070 <1% 355 $2K
99072 <1% 115 $2K
90680 <1% 211 $2K
90633 <1% 211 $1K
83655 <1% 129 $1K
0002A <1% 29 $1K
90651 <1% 155 $1K
87807 <1% 91 $1K
90744 <1% 107 $785.96
90715 <1% 42 $743.00
92587 <1% 30 $730.24
85018 <1% 348 $714.26
90619 <1% 63 $575.36
0003A <1% 14 $520.00
90734 <1% 86 $504.04
82465 <1% 98 $376.81
83718 <1% 46 $318.58
90713 <1% 27 $148.91
90621 <1% 13 $120.58
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 $17.57
99177 0% 15 $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 officialSITRIN, HAROLD (PRESIDENT)