Physician
Traverse Area Pediatric and Adolescent Clinic PLC
Traverse Area Pediatric and Adolescent Clinic PLC was paid $2.64M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoTRAVERSE AREA PEDIATRIC AND ADOLESCENT CLINIC PLC
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1821380031assigned 05/05/2011
33bProvider typePediatrics Physician
28Total paid$2.64M
24GClaims83,304
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#51 of 349
Median peer was paid$321K
This provider vs. median8.2×
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 | 15,553 | $397K | |
| 2019 | 12,026 | $357K | |
| 2020 | 11,589 | $316K | |
| 2021 | 10,369 | $327K | |
| 2022 | 11,914 | $418K | |
| 2023 | 12,102 | $460K | |
| 2024incomplete | 9,751 | $365K |
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 | 30% | 13,278 | 11,320 | $801K |
| 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 | 30% | 9,068 | 8,234 | $781K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.6% | 3,198 | 3,189 | $252K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 3,106 | 3,058 | $207K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 2,464 | 2,457 | $189K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.9% | 8,634 | 7,866 | $155K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 1,116 | 1,114 | $92K |
| 92551 | 1.2% | 4,753 | 4,738 | $31K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 2,533 | 2,508 | $28K |
| 36416 | <1% | 2,619 | 2,594 | $12K | |
| 83655 | <1% | 1,024 | 1,017 | $12K | |
| 96127 | <1% | 3,662 | 3,572 | $11K |
58 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 88 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 768 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 260 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 246 | $7K |
| 99177 | <1% | 3,454 | $5K | |
| 85018 | <1% | 2,042 | $3K | |
| 90480 | <1% | 77 | $3K | |
| 90671 | <1% | 259 | $3K | |
| 87428 | <1% | 89 | $3K | |
| 0072A | <1% | 60 | $2K | |
| 80061 | Lipid panel | <1% | 249 | $2K |
| 0071A | <1% | 58 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 299 | $2K |
| 99188 | <1% | 213 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 134 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 139 | $1K |
| 81002 | <1% | 360 | $870.57 | |
| 99460 | <1% | 13 | $648.58 | |
| 83718 | <1% | 112 | $571.88 | |
| 99051 | <1% | 189 | $564.28 | |
| 90461 | <1% | 3,648 | $553.20 | |
| 0002A | <1% | 13 | $495.08 | |
| 0001A | <1% | 14 | $495.08 | |
| 96380 | <1% | 16 | $208.60 | |
| 82465 | <1% | 86 | $192.00 | |
| 94760 | <1% | 1,030 | $108.98 | |
| 96161 | <1% | 218 | $98.09 | |
| 90686 | <1% | 2,080 | $20.56 | |
| 96160 | <1% | 818 | $19.37 | |
| 99173 | <1% | 12 | $4.00 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 431 | $0.10 |
| 98966 | <1% | 43 | $0.05 | |
| 90672 | <1% | 451 | $0.03 | |
| 90685 | <1% | 454 | $0.01 | |
| 90670 | 0% | 1,791 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 260 | $0.00 |
| 90633 | 0% | 1,039 | $0.00 | |
| 90734 | 0% | 173 | $0.00 | |
| 90707 | 0% | 142 | $0.00 | |
| 90648 | 0% | 42 | $0.00 | |
| 90710 | 0% | 96 | $0.00 | |
| 91300 | 0% | 27 | $0.00 | |
| 90700 | 0% | 96 | $0.00 | |
| 90715 | 0% | 24 | $0.00 | |
| 91321 | 0% | 38 | $0.00 | |
| 3044F | 0% | 315 | $0.00 | |
| 90651 | 0% | 283 | $0.00 | |
| 90698 | 0% | 1,530 | $0.00 | |
| 90716 | 0% | 146 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 685 | $0.00 |
| 90680 | 0% | 1,263 | $0.00 | |
| 90744 | 0% | 982 | $0.00 | |
| 90696 | 0% | 97 | $0.00 | |
| 90619 | 0% | 54 | $0.00 | |
| 90660 | 0% | 42 | $0.00 | |
| 91307 | 0% | 127 | $0.00 | |
| 90656 | 0% | 160 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 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 officialSMITH, KARLA (MANAGING PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Right Start Children's Services, LLC | Douglassville, PA | $2.32M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.