Midwest Child and Adolescent Specialty Group, P.C.

Midwest Child and Adolescent Specialty Group, P.C. was paid $4.81M by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

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	22,204	$625K
2019	22,683	$641K
2020	21,488	$656K
2021	23,050	$739K
2022	25,069	$756K
2023	24,088	$808K
2024incomplete	13,788	$585K

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	43%	37,705	31,966	$2.07M
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	13%	7,186	6,509	$613K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	11%	7,089	6,057	$531K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	11%	6,909	5,772	$513K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.0%	4,866	4,267	$383K
90472	Immunization administration, each additional vaccine (list separately)	3.8%	10,635	8,393	$185K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.2%	19,262	14,961	$152K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.6%	1,639	1,346	$125K
92551		1.1%	7,017	5,999	$51K
90460	Immunization administration through 18 years of age via any route, first or only component	1.0%	1,318	1,103	$48K
81002		<1%	9,039	7,785	$26K
99381		<1%	244	218	$20K

32 more codes

90461		<1%	834	$19K
90670		<1%	4,423	$17K
99173		<1%	8,602	$15K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	731	$10K
36416		<1%	1,546	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	132	$4K
99223	Prolong inpt eval add15 m	<1%	33	$4K
99238	Hospital discharge day management, 30 minutes or less	<1%	84	$4K
90686		<1%	6,458	$3K
90723		<1%	3,395	$3K
96127		<1%	619	$2K
90716		<1%	1,527	$2K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	249	$1K
90707		<1%	1,530	$1K
90647		<1%	3,385	$985.58
99232	Hospital visit by a doctor, follow-up day	<1%	20	$970.44
99203	Doctor's office visit, new patient (routine)	<1%	12	$853.01
90474		<1%	272	$653.25
90677		<1%	454	$603.92
90734		<1%	290	$521.74
87276		<1%	29	$358.60
87275		<1%	29	$298.99
90681		<1%	1,650	$246.30
90651		<1%	333	$190.00
90715		<1%	145	$159.95
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	14	$112.00
90633		<1%	1,855	$100.98
90656		<1%	187	$98.43
90700		<1%	285	$22.89
90696		0%	85	$0.00
90657		0%	55	$0.00
90658		0%	198	$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 officialDELA CRUZ, PABLITO (OWNER)