Physician
Saint Cloud Pediatrics LLC
Saint Cloud Pediatrics LLC was paid $635K by Medicaid between Feb 2021 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoSAINT CLOUD PEDIATRICS LLC
SAINT CLOUD, MN 56301
SAINT CLOUD, MN 56301
33aNPI1942816533assigned 09/18/2020
33bProvider typePediatrics Physician
28Total paid$635K
24GClaims18,893
24DCodes billed43
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Minnesota
Rank by total paid#9 of 33
Median peer was paid$13K
This provider vs. median48×
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 | |
|---|---|---|---|
| 2021 | 1,105 | $35K | |
| 2022 | 4,590 | $147K | |
| 2023 | 6,616 | $217K | |
| 2024incomplete | 6,582 | $236K |
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 | 37% | 2,625 | 2,334 | $233K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 2,161 | 1,909 | $120K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 7.3% | 2,667 | 2,370 | $46K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 640 | 567 | $43K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.7% | 303 | 284 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 422 | 389 | $28K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 378 | 339 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 1,106 | 991 | $18K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 338 | 306 | $14K |
| 99188 | 1.7% | 916 | 817 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 1,415 | 1,219 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 276 | 250 | $9K |
31 more codes
| X5622 | 1.4% | 56 | $9K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 414 | $6K |
| 90461 | <1% | 274 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 68 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 54 | $4K |
| 92551 | <1% | 523 | $4K | |
| 96127 | <1% | 1,041 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 407 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 98 | $2K |
| 99173 | <1% | 640 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 67 | $1K |
| 90473 | <1% | 63 | $931.41 | |
| 99383 | <1% | 12 | $921.22 | |
| 96161 | <1% | 497 | $486.78 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $457.36 |
| 90677 | <1% | 116 | $302.20 | |
| 85018 | <1% | 109 | $255.85 | |
| 90686 | <1% | 254 | $193.29 | |
| 90474 | <1% | 16 | $122.33 | |
| 36416 | <1% | 15 | $39.82 | |
| 90656 | <1% | 55 | $22.75 | |
| 91307 | <1% | 13 | $0.78 | |
| 90672 | <1% | 76 | $0.15 | |
| 90670 | <1% | 83 | $0.08 | |
| 90651 | <1% | 28 | $0.01 | |
| 90697 | <1% | 15 | $0.01 | |
| 90633 | <1% | 59 | $0.01 | |
| 90660 | 0% | 26 | $0.00 | |
| 99072 | 0% | 528 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90661 | 0% | 14 | $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 officialHU, WEINING (PRESIDENT)