Physician
Evans Pediatric Clinic PC
Evans Pediatric Clinic PC was paid $101K by Medicaid between Jun 2020 and Feb 2021, across 24 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 21% of everything it billed.
33Billing provider infoEVANS PEDIATRIC CLINIC PC
SAINT JOSEPH, MO 64506
SAINT JOSEPH, MO 64506
33aNPI1013952886assigned 06/17/2006
33bProvider typePediatrics Physician
28Total paid$101K
24GClaims3,221
24DCodes billed24
24AFirst – last monthJun 2020 – Feb 2021
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#318 of 992
Median peer was paid$40K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2020 | 2,577 | $81K | |
| 2021 | 644 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 21% | 353 | 314 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 436 | 408 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 225 | 219 | $14K |
| 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 | 14% | 241 | 227 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 136 | 131 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.3% | 223 | 207 | $6K |
| 90723 | 5.6% | 217 | 213 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 40 | 40 | $3K |
| 90710 | 1.9% | 92 | 92 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 107 | 106 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 124 | 120 | $2K |
| 90670 | 1.4% | 265 | 260 | $1K |
12 more codes
| 90648 | 1.3% | 247 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 27 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $674.70 |
| 83655 | <1% | 62 | $600.16 | |
| 90686 | <1% | 105 | $545.70 | |
| 90696 | <1% | 19 | $406.60 | |
| 90681 | <1% | 76 | $390.55 | |
| 90685 | <1% | 51 | $272.85 | |
| 90633 | <1% | 44 | $235.40 | |
| 81003 | <1% | 75 | $129.60 | |
| 90734 | <1% | 12 | $64.20 | |
| 85018 | <1% | 29 | $54.81 |
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 officialEVANS, DOUGLAS (OWNER)