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

Best Care Pediatrics LLC

Best Care Pediatrics LLC was paid $2.37M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoBEST CARE PEDIATRICS LLC
MILWAUKEE, WI 53221
33aNPI1811333867assigned 05/17/2013
33bProvider typePediatrics Physician
28Total paid$2.37M
24GClaims85,792
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Wisconsin

Rank by total paid#6 of 200
Median peer was paid$4K
This provider vs. median543×

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$20K$40K$60K2018201920202021202220232024
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
201819,762$423K
201918,050$401K
202011,760$307K
202111,493$360K
202211,276$421K
20238,340$264K
2024incomplete5,111$192K
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 34% 12,995 11,056 $802K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 5,738 4,783 $242K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.7% 2,776 2,599 $158K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.6% 2,704 2,547 $157K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5.3% 4,715 4,441 $125K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.9% 2,112 1,959 $117K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4.7% 3,261 2,908 $110K
99173 4.1% 5,390 5,006 $96K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3.7% 2,118 1,921 $88K
D1208 Topical application of fluoride, excluding varnish 3.1% 5,714 5,386 $73K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.7% 1,115 1,060 $65K
92551 2.7% 5,320 4,935 $65K
46 more codes
3008F 2.6% 7,224 $62K
99215 Doctor's office visit, returning patient (complex) 2.1% 646 $50K
80061 Lipid panel 1.1% 1,751 $25K
99205 Prolong outpt/office vis <1% 131 $23K
83655 <1% 1,680 $22K
90658 <1% 3,585 $20K
85018 <1% 3,816 $10K
36416 <1% 3,590 $10K
99204 Doctor's office visit, new patient (more involved) <1% 65 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 222 $6K
90670 <1% 1,183 $5K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 184 $3K
96127 <1% 840 $3K
90657 <1% 667 $3K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 28 $3K
90680 <1% 598 $2K
90723 <1% 564 $2K
90648 <1% 578 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 33 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 99 $2K
90633 <1% 343 $1K
90651 <1% 177 $1K
86580 <1% 165 $996.04
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 51 $992.72
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 18 $671.98
94010 <1% 12 $350.02
81002 <1% 111 $321.33
80305 <1% 38 $313.80
99442 <1% 16 $266.58
90734 <1% 57 $253.10
90697 <1% 28 $212.83
90619 <1% 13 $204.00
90671 <1% 13 $169.50
95117 <1% 22 $117.65
90698 <1% 23 $96.46
90620 <1% 27 $73.31
90696 <1% 15 $63.31
90649 <1% 13 $56.62
90700 <1% 15 $48.17
90710 <1% 15 $45.43
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 24 $0.36
90460 Immunization administration through 18 years of age via any route, first or only component 0% 72 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 995 $0.00
90461 0% 90 $0.00
90473 0% 23 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 1,974 $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 officialARCE-GARZON, SANDRA (OWNER)