Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTHSIDE PEDIATRIC ASSOCIATES, PC

NPI: 1851515597 · COLUMBUS, IN 47203 · Pediatrics Physician · NPI assigned 04/12/2007

$2.00M
Total Medicaid Paid
42,467
Total Claims
38,900
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOWNEY, MELISSA (PRACTICE MANAGER)
NPI Enumeration Date04/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,047 $246K
2019 6,309 $237K
2020 5,759 $224K
2021 6,329 $302K
2022 7,701 $396K
2023 6,554 $343K
2024 3,768 $252K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,152 12,742 $957K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,048 2,791 $271K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,282 2,165 $224K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,254 1,185 $130K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 957 899 $94K
90472 Immunization administration, each additional vaccine (list separately) 4,354 4,052 $94K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,429 2,194 $90K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,752 5,279 $71K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 211 102 $21K
96127 1,848 1,691 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 157 149 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 237 224 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 85 79 $8K
99177 667 637 $3K
90473 184 181 $2K
90670 1,079 1,025 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 51 45 $2K
90698 1,131 1,068 $798.06
83655 52 50 $724.45
36416 160 146 $520.57
87807 31 30 $450.64
90686 1,762 1,604 $371.67
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 19 16 $339.32
85018 95 88 $244.91
99000 55 51 $182.76
99188 12 12 $129.72
90680 223 218 $126.58
96161 29 29 $107.44
96110 Developmental screening, with scoring and documentation, per standardized instrument 14 14 $94.22
90744 40 38 $4.26
90671 43 43 $0.00
90633 29 29 $0.00
99072 13 12 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12 12 $0.00