Physician
Spokane Pediatrics PLLC
Spokane Pediatrics PLLC was paid $774K by Medicaid between Oct 2018 and Jan 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoSPOKANE PEDIATRICS PLLC
SPOKANE, WA 99204
SPOKANE, WA 99204
33aNPI1932680949assigned 08/27/2018
33bProvider typePediatrics Physician
28Total paid$774K
24GClaims22,508
24DCodes billed47
24AFirst – last monthOct 2018 – Jan 2024
Compared with peers
Next to other Pediatrics Physician providers in Washington
Rank by total paid#28 of 110
Median peer was paid$57K
This provider vs. median14×
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 | 663 | $20K | |
| 2019 | 3,347 | $115K | |
| 2020 | 4,655 | $147K | |
| 2021 | 5,126 | $159K | |
| 2022 | 5,171 | $194K | |
| 2023 | 3,331 | $131K | |
| 2024incomplete | 215 | $9K |
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 | 41% | 3,363 | 3,005 | $317K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 3,476 | 3,243 | $242K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 503 | 500 | $45K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 277 | 275 | $25K |
| 99429 | 2.8% | 955 | 945 | $22K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 203 | 196 | $17K |
| 90686 | 2.2% | 1,222 | 1,188 | $17K | |
| 99499 | 1.8% | 564 | 563 | $14K | |
| 99188 | 1.7% | 1,298 | 1,110 | $13K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 1,627 | 1,460 | $9K |
| 36416 | <1% | 2,329 | 2,299 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 44 | 43 | $6K |
35 more codes
| 85018 | <1% | 2,294 | $5K | |
| D0120 | Dental checkup, returning patient | <1% | 213 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 451 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 37 | $3K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 152 | $3K |
| 0071A | <1% | 70 | $3K | |
| 0072A | <1% | 67 | $3K | |
| 99383 | <1% | 26 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 24 | $2K |
| 99382 | <1% | 18 | $2K | |
| 90670 | <1% | 117 | $1K | |
| 99173 | <1% | 714 | $1K | |
| 0001A | <1% | 27 | $1K | |
| 0002A | <1% | 26 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $972.44 |
| 0082A | <1% | 19 | $760.00 | |
| 0081A | <1% | 13 | $520.00 | |
| 0083A | <1% | 13 | $520.00 | |
| 0011A | <1% | 12 | $480.00 | |
| 96127 | <1% | 166 | $361.46 | |
| 90672 | <1% | 13 | $255.97 | |
| 90648 | <1% | 25 | $238.50 | |
| 90685 | <1% | 14 | $227.78 | |
| 99174 | <1% | 68 | $205.32 | |
| 90688 | <1% | 20 | $190.80 | |
| 87430 | <1% | 12 | $163.08 | |
| 91318 | <1% | 15 | $83.44 | |
| 94760 | <1% | 168 | $6.44 | |
| 91301 | 0% | 38 | $0.00 | |
| S8301 | Infection control supplies, not otherwise specified | 0% | 87 | $0.00 |
| 91307 | 0% | 160 | $0.00 | |
| 99000 | 0% | 189 | $0.00 | |
| 91300 | 0% | 102 | $0.00 | |
| 99072 | 0% | 1,195 | $0.00 | |
| 91308 | 0% | 54 | $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 officialSEAY, ANNETTE (OFFICE MANAGER)