Clinic
Pediatric and Young Adult Medicine, PA
Pediatric and Young Adult Medicine, PA was paid $1.71M by Medicaid between Jan 2018 and Nov 2023, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoPEDIATRIC AND YOUNG ADULT MEDICINE, PA
SAINT PAUL, MN 55116
SAINT PAUL, MN 55116
33aNPI1932316916assigned 05/17/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$1.71M
24GClaims79,059
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Minnesota
Rank by total paid#16 of 72
Median peer was paid$251K
This provider vs. median6.8×
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 | 18,830 | $165K | |
| 2019 | 16,157 | $391K | |
| 2020 | 11,063 | $284K | |
| 2021 | 11,714 | $320K | |
| 2022 | 9,870 | $267K | |
| 2023 | 11,425 | $281K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 7,461 | 6,793 | $473K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 17% | 8,185 | 7,749 | $287K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 5,908 | 5,447 | $282K |
| X5622 | 8.0% | 3,541 | 3,188 | $137K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.4% | 7,144 | 6,455 | $75K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 1,289 | 1,229 | $73K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 1,065 | 1,012 | $71K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 1,199 | 1,129 | $68K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.6% | 890 | 835 | $44K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 2,764 | 2,539 | $35K |
| 92551 | 1.8% | 5,908 | 5,450 | $30K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 2,127 | 2,037 | $29K |
33 more codes
| 96127 | 1.7% | 9,918 | $29K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 463 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 606 | $9K |
| 36416 | <1% | 2,632 | $8K | |
| 87070 | <1% | 1,032 | $8K | |
| 99173 | <1% | 5,827 | $6K | |
| 80061 | Lipid panel | <1% | 421 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,631 | $4K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 553 | $3K |
| 99188 | <1% | 877 | $3K | |
| 90686 | <1% | 2,178 | $3K | |
| 85018 | <1% | 993 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 332 | $1K |
| 99441 | <1% | 43 | $1K | |
| 90670 | <1% | 321 | $887.66 | |
| 90651 | <1% | 278 | $747.26 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 81 | $640.81 |
| 90480 | <1% | 18 | $593.17 | |
| 96161 | <1% | 330 | $403.72 | |
| 90734 | <1% | 209 | $282.43 | |
| 87807 | <1% | 13 | $164.85 | |
| 90474 | <1% | 15 | $102.29 | |
| 90647 | <1% | 114 | $52.41 | |
| 96160 | 0% | 2,126 | $0.00 | |
| 90633 | 0% | 82 | $0.00 | |
| 90707 | 0% | 132 | $0.00 | |
| 90715 | 0% | 72 | $0.00 | |
| 83655 | 0% | 26 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90681 | 0% | 15 | $0.00 | |
| 90716 | 0% | 83 | $0.00 | |
| 90723 | 0% | 132 | $0.00 | |
| 90696 | 0% | 12 | $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 officialJOSEPH, TERRI (CLINIC ADMINISTRATOR)