Physician
Southwest Pediatrics
Southwest Pediatrics was paid $1.03M by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 35% of everything it billed.
33Billing provider infoSOUTHWEST PEDIATRICS
SEATTLE, WA 98166
SEATTLE, WA 98166
33aNPI1659582385assigned 05/24/2007
33bProvider typePediatrics Physician
28Total paid$1.03M
24GClaims80,721
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Washington
Rank by total paid#25 of 110
Median peer was paid$57K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2018 | 12,161 | $113K | |
| 2019 | 13,494 | $110K | |
| 2020 | 10,254 | $124K | |
| 2021 | 15,246 | $242K | |
| 2022 | 9,670 | $220K | |
| 2023 | 11,082 | $129K | |
| 2024incomplete | 8,814 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 35% | 7,794 | 6,283 | $365K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 20,481 | 16,980 | $300K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 4,750 | 4,190 | $84K |
| 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 | 7.1% | 3,737 | 3,025 | $73K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 3,155 | 2,715 | $48K |
| 90756 | 2.8% | 7,041 | 5,656 | $29K | |
| 90670 | 2.2% | 4,786 | 4,213 | $23K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 746 | 662 | $18K |
| 90681 | 1.5% | 2,542 | 2,254 | $16K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 542 | 492 | $10K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 540 | 492 | $10K |
| 90697 | <1% | 1,216 | 1,121 | $9K |
42 more codes
| 90723 | <1% | 1,690 | $7K | |
| D1206 | Topical application of fluoride varnish | <1% | 585 | $6K |
| 90647 | <1% | 1,728 | $5K | |
| 90633 | <1% | 1,113 | $4K | |
| 99460 | <1% | 45 | $3K | |
| 99072 | <1% | 4,111 | $3K | |
| 99174 | <1% | 5,956 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 540 | $2K |
| 90710 | <1% | 563 | $2K | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | <1% | 49 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 42 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 306 | $1K |
| 85018 | <1% | 3,089 | $805.56 | |
| 99499 | <1% | 236 | $771.85 | |
| 90734 | <1% | 158 | $538.00 | |
| 90651 | <1% | 214 | $444.06 | |
| 99188 | <1% | 303 | $383.32 | |
| 99429 | <1% | 173 | $365.44 | |
| 83655 | <1% | 390 | $355.66 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 308 | $333.37 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 161 | $308.89 |
| 90680 | <1% | 69 | $301.86 | |
| 90715 | <1% | 32 | $246.59 | |
| 90620 | <1% | 55 | $202.14 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 95 | $133.20 |
| 80061 | Lipid panel | <1% | 107 | $129.00 |
| 90655 | <1% | 44 | $127.92 | |
| 90696 | <1% | 27 | $125.97 | |
| 96127 | <1% | 103 | $98.95 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 60 | $79.31 |
| 90658 | <1% | 107 | $76.50 | |
| 90686 | <1% | 258 | $67.61 | |
| 90672 | <1% | 44 | $62.82 | |
| 99173 | <1% | 298 | $49.14 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 126 | $42.69 |
| 90656 | <1% | 110 | $39.30 | |
| 90677 | <1% | 26 | $36.68 | |
| 87807 | <1% | 13 | $34.06 | |
| 90716 | <1% | 13 | $20.62 | |
| 90700 | <1% | 15 | $20.62 | |
| G2061 | Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes | <1% | 15 | $5.98 |
| 90707 | 0% | 14 | $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 officialDONG, KENNETH (VICE PRESIDENT)