Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MN › Eden Prairie › NPI 1760816045
Clinic

New Kingdom Pediatrics LLC

New Kingdom Pediatrics LLC was paid $2.28M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoNEW KINGDOM PEDIATRICS LLC
EDEN PRAIRIE, MN 55344
33aNPI1760816045assigned 08/22/2013
33bProvider typeClinic/Center
28Total paid$2.28M
24GClaims66,940
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Minnesota

Rank by total paid#35 of 250
Median peer was paid$274K
This provider vs. median8.3×

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$25K$50K$75K2018201920202021202220232024
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
20189,643$94K
20199,558$319K
20209,070$317K
202114,068$536K
202212,574$515K
20238,309$333K
2024incomplete3,718$166K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 28% 9,099 8,526 $640K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 12,551 11,609 $629K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.7% 3,308 3,264 $222K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 7.2% 1,555 1,472 $163K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.9% 2,465 2,307 $158K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.8% 1,567 1,552 $110K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3.2% 542 505 $73K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.2% 1,870 1,789 $51K
92551 1.9% 6,602 6,516 $44K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.6% 6,689 6,560 $37K
99177 1.3% 5,817 5,770 $30K
99381 <1% 250 246 $19K
29 more codes
36415 Collection of venous blood by venipuncture <1% 5,465 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,140 $13K
99383 <1% 146 $12K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 101 $9K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 110 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 669 $7K
87631 <1% 48 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 731 $7K
99382 <1% 84 $6K
99173 <1% 4,072 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 96 $4K
99203 Doctor's office visit, new patient (routine) <1% 41 $3K
90472 Immunization administration, each additional vaccine (list separately) <1% 128 $1K
99204 Doctor's office visit, new patient (more involved) <1% 12 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 190 $1K
96127 <1% 319 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 248 $797.51
36416 <1% 242 $687.69
99417 Prolong home eval add 15m <1% 25 $671.99
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 12 $592.65
85018 <1% 219 $484.51
83036 Hemoglobin; glycosylated (A1C) <1% 28 $242.60
80053 Comprehensive metabolic panel <1% 12 $127.98
81003 <1% 98 $122.50
99000 <1% 303 $47.77
96160 <1% 27 $44.16
87807 0% 21 $0.00
90700 0% 25 $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 officialZAJAC, ROBERT (CEO)
Same official

Other billing entities under ZAJAC, ROBERT

Full network →
ProviderLocationPaid
Robert a Zajac MD PASan Antonio, TX$16K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.