Clinic
Metropolitan Pediatric Specialists, P.A.
Metropolitan Pediatric Specialists, P.A. was paid $3.55M by Medicaid between Jun 2021 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoMETROPOLITAN PEDIATRIC SPECIALISTS, P.A.
EDINA, MN 55435
EDINA, MN 55435
33aNPI1558459206assigned 10/10/2006
33bProvider typeClinic/Center
28Total paid$3.55M
24GClaims83,738
24DCodes billed54
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Minnesota
Rank by total paid#22 of 250
Median peer was paid$274K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2021 | 24,739 | $931K | |
| 2022 | 27,523 | $1.15M | |
| 2023 | 19,607 | $842K | |
| 2024incomplete | 11,869 | $628K |
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 | 47% | 26,905 | 24,484 | $1.67M |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 16% | 4,169 | 3,953 | $568K |
| 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 | 7.3% | 3,025 | 2,879 | $259K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.6% | 3,534 | 3,438 | $200K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 1,740 | 1,670 | $130K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 1,648 | 1,581 | $121K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.3% | 3,470 | 3,350 | $116K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 1,217 | 1,093 | $82K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 2,561 | 2,295 | $69K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 4,545 | 4,159 | $60K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 665 | 634 | $54K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,941 | 1,855 | $33K |
42 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 656 | $33K |
| 92551 | <1% | 2,976 | $22K | |
| 90686 | <1% | 3,234 | $17K | |
| 96127 | <1% | 3,920 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,946 | $13K |
| 99000 | <1% | 583 | $13K | |
| 90670 | <1% | 739 | $13K | |
| 90461 | <1% | 396 | $9K | |
| 99188 | <1% | 2,844 | $9K | |
| 0001A | <1% | 193 | $7K | |
| 0072A | <1% | 177 | $7K | |
| 0002A | <1% | 152 | $5K | |
| 99173 | <1% | 2,542 | $4K | |
| 0071A | <1% | 99 | $4K | |
| 36416 | <1% | 1,191 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 286 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 260 | $2K |
| 90723 | <1% | 413 | $2K | |
| 80061 | Lipid panel | <1% | 114 | $2K |
| 90677 | <1% | 12 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 360 | $1K |
| 0003A | <1% | 27 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 85018 | <1% | 382 | $891.99 | |
| 83655 | <1% | 69 | $813.12 | |
| 90681 | <1% | 161 | $264.18 | |
| 90647 | <1% | 438 | $196.04 | |
| 81000 | <1% | 38 | $152.30 | |
| 90716 | <1% | 71 | $127.79 | |
| 90734 | <1% | 150 | $121.79 | |
| 82947 | <1% | 24 | $96.00 | |
| 90633 | <1% | 355 | $78.14 | |
| 90700 | <1% | 123 | $77.82 | |
| 88720 | <1% | 15 | $76.65 | |
| 90707 | <1% | 56 | $74.16 | |
| 90696 | <1% | 56 | $70.65 | |
| 90715 | <1% | 102 | $62.39 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $1.56 |
| 90710 | <1% | 66 | $0.52 | |
| 90651 | <1% | 204 | $0.02 | |
| 96160 | 0% | 2,718 | $0.00 | |
| 90661 | 0% | 145 | $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 officialWOOD, FLORENCE (BUSINESS OFFICE SUPERVISOR)