Physician
Northern Lights Pediatric & Adolescent Medicine
Northern Lights Pediatric & Adolescent Medicine was paid $157K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoNORTHERN LIGHTS PEDIATRIC & ADOLESCENT MEDICINE
VADNAIS HEIGHTS, MN 55110
VADNAIS HEIGHTS, MN 55110
33aNPI1912069519assigned 12/14/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$157K
24GClaims5,148
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
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 | 1,003 | $5K | |
| 2019 | 1,122 | $27K | |
| 2020 | 666 | $21K | |
| 2021 | 591 | $29K | |
| 2022 | 582 | $24K | |
| 2023 | 744 | $29K | |
| 2024incomplete | 440 | $22K |
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 | 62% | 1,901 | 1,711 | $97K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 21% | 813 | 793 | $33K |
| 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 | 5.5% | 109 | 104 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.2% | 461 | 445 | $7K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.9% | 127 | 118 | $3K |
| 92552 | 1.8% | 199 | 191 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 76 | 75 | $3K |
| 96127 | <1% | 359 | 346 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 42 | 41 | $861.98 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 27 | 26 | $783.90 |
| 90473 | <1% | 14 | 14 | $275.34 | |
| 99173 | <1% | 200 | 192 | $210.41 |
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 officialMCCABE, WENDY (PARTNER)