Pediatrics West

Pediatrics West was paid $12K by Medicaid between Jan 2018 and Mar 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoPEDIATRICS WEST
BROOKFIELD, WI 53045

33aNPI1831343797assigned 11/05/2008

33bProvider typePediatrics Physician

28Total paid$12K

24GClaims1,046

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Wisconsin

Rank by total paid#79 of 200

Median peer was paid$4K

This provider vs. median2.7×

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	92	$2K
2019	178	$2K
2020	193	$2K
2021	423	$4K
2022	127	$2K
2023	33	$849.80

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	91%	363	279	$11K
90686		5.0%	203	179	$603.91
90460	Immunization administration through 18 years of age via any route, first or only component	1.3%	135	120	$160.58
90656		1.2%	28	26	$137.72
3008F		1.0%	12	12	$120.00
99000		<1%	13	12	$50.96
99072		0%	292	242	$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 officialMANION, LORELLE (MD)