Physician
Children & Adoleseant Clinic PC
Children & Adoleseant Clinic PC was paid $4.34M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoCHILDREN & ADOLESEANT CLINIC PC
HASTINGS, NE 68701
HASTINGS, NE 68701
33aNPI1023125317assigned 08/24/2006
33bProvider typePediatrics Physician
28Total paid$4.34M
24GClaims114,405
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Nebraska
Rank by total paid#4 of 29
Median peer was paid$183K
This provider vs. median24×
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 | 13,968 | $602K | |
| 2019 | 16,019 | $668K | |
| 2020 | 19,970 | $693K | |
| 2021 | 21,008 | $747K | |
| 2022 | 19,289 | $668K | |
| 2023 | 14,017 | $566K | |
| 2024incomplete | 10,134 | $394K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 24,850 | 23,293 | $1.10M |
| 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 | 22% | 14,668 | 13,473 | $937K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 6,798 | 6,594 | $547K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 6,453 | 6,312 | $542K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 2,020 | 1,994 | $178K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.2% | 9,244 | 9,071 | $140K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.8% | 1,697 | 1,631 | $123K |
| 99460 | 2.5% | 1,024 | 988 | $109K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 1,132 | 1,104 | $103K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 4,628 | 2,243 | $73K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 1,837 | 1,739 | $55K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 3,215 | 3,098 | $51K |
45 more codes
| 90686 | 1.1% | 4,598 | $48K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 424 | $40K |
| 90670 | <1% | 3,552 | $40K | |
| 90698 | <1% | 3,302 | $35K | |
| 96127 | <1% | 834 | $32K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,030 | $30K |
| 90680 | <1% | 2,045 | $22K | |
| 99462 | <1% | 307 | $15K | |
| 87807 | <1% | 965 | $13K | |
| 85018 | <1% | 5,564 | $13K | |
| 83655 | <1% | 1,038 | $13K | |
| 90710 | <1% | 1,083 | $11K | |
| 90677 | <1% | 354 | $9K | |
| 85014 | <1% | 3,933 | $9K | |
| 90633 | <1% | 708 | $7K | |
| 90744 | <1% | 655 | $7K | |
| 92551 | <1% | 353 | $5K | |
| 90651 | <1% | 307 | $4K | |
| 90672 | <1% | 265 | $3K | |
| 54150 | <1% | 54 | $3K | |
| 90697 | <1% | 267 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 17 | $2K |
| 94644 | <1% | 80 | $2K | |
| 90734 | <1% | 154 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 102 | $2K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 14 | $2K |
| 90696 | <1% | 118 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $1K |
| 83718 | <1% | 118 | $1K | |
| 90715 | <1% | 75 | $838.16 | |
| 90656 | <1% | 73 | $792.35 | |
| 90621 | <1% | 61 | $790.35 | |
| 82465 | <1% | 157 | $731.09 | |
| 81003 | <1% | 266 | $691.76 | |
| 99173 | <1% | 336 | $642.50 | |
| 0001A | <1% | 17 | $596.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 39 | $337.76 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 105 | $186.30 |
| 90655 | <1% | 17 | $182.07 | |
| 94760 | <1% | 35 | $151.00 | |
| 86580 | <1% | 13 | $95.69 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 28 | $75.00 |
| 36416 | <1% | 3,314 | $1.50 | |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 20 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 28 | $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 officialZOUCHA, KEN (MD OWNER)