Hospital, Office Visits, Labs, Vaccines and Health Screenings

Newborn Hospital Charges

Newborn Coverage is NOT automatic. Most insurance plans only allow 30 days after the baby's birth to add your newborn to the policy. Please call your benefits department or insurance company to add your baby to the policy. We will file hospital charges to your insurance company after you have provided proof of insurance coverage and your child's eligibility has been verified.

Office Visits

We follow the American Academy of Pediatrics' SCHEDULE OF VISITS FOR ROUTINE WELL CHILD CARE. Please note that this schedule may differ from your insurance company's.

Lab Work

Please be familiar with your policy and advise us where we should direct you for lab work if your insurance does not permit these services to be performed at MidAmerica Clinical Laboratories.

Where to Obtain Vaccines

If your insurance policy does not cover vaccines, Northpoint physicians recommend the Public Health Department, where vaccines are available at nominal or no cost.

The Hamilton County Health Department's phone number is 317-776-8500. You can also visit their website, www.hamiltoncounty.in.gov.
The Marion County Health Department's phone number is 317-221-2122. You can also visit their website, Marion County Immunization Services.

Health Screenings (Vision, Hearing, Lead, Developmental, Urinalysis, Depression)

All services are separate from the exam and have separate fees. Many insurance plans require that their members use specialists, laboratories, and outpatient facilities with which they have contracts. Please be familiar with your policy and advise us where we should direct you for additional tests, screening, or procedures if your insurance does not permit those tests to be performed in the office setting.

Answers to Questions Regarding Age-Specific Health Screenings (PDF)
Vision Screening CPT 99177, 99173
Hearing Screening CPT 92587, 92551
Lead Screening CPT 83655
Developmental Screening CPT 96110
Urinalysis Screening CPT 81003
Depression Screening CPT Code 96127

Combined Wellness and Ill Visits

Northpoint Pediatrics physicians and Nurse Practitioners follow the AMA CODING AND DOCUMENTATION GUIDELINES. If your child comes in for a well-child visit, but in the course of this routine visit, “an abnormality(ies) is encountered, or a preexisting problem is addressed,” the appropriate office/outpatient problem-oriented evaluation and management E/M service code is reported in addition to the preventive code; which may result in additional charges. Examples would be patients with asthma and ADD/ADHD coming in for a well-child exam.

We work with certified professional coders credentialed by the AMERICAN ACADEMY OF PROFESSIONAL CODERS and regularly undergo independent audits to ensure correct coding standards are followed.