Priority Care Pediatrics, LLC

Priority Care Pediatrics, LLC was paid $5.89M by Medicaid between May 2020 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoPRIORITY CARE PEDIATRICS, LLC
KANSAS CITY, MO 64155

33aNPI1033157664assigned 06/04/2006

33bProvider typePediatrics Physician

28Total paid$5.89M

24GClaims111,659

24DCodes billed43

24AFirst – last monthMay 2020 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#3 of 992

Median peer was paid$40K

This provider vs. median145×

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	14,241	$510K
2021	31,385	$1.16M
2022	25,738	$1.43M
2023	23,081	$1.62M
2024incomplete	17,214	$1.16M

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	39%	30,814	29,026	$2.32M
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%	20,829	19,854	$1.12M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	13%	10,412	9,906	$786K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	9,864	9,698	$710K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.7%	4,666	4,561	$336K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	2.1%	927	910	$126K
90698		2.0%	4,370	4,341	$117K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	410	241	$46K
90686		<1%	7,380	7,281	$45K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	470	456	$34K
99051		<1%	2,427	2,371	$29K
90670		<1%	4,857	4,824	$27K

31 more codes

90697		<1%	859	$27K
90680		<1%	2,712	$18K
90710		<1%	770	$18K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	1,450	$17K
90834	Psychotherapy session, about 45 minutes	<1%	279	$17K
99215	Doctor's office visit, returning patient (complex)	<1%	113	$14K
90671		<1%	1,616	$13K
90633		<1%	1,528	$9K
99238	Hospital discharge day management, 30 minutes or less	<1%	181	$8K
99188		<1%	467	$7K
90744		<1%	1,060	$6K
54150		<1%	46	$5K
D1206	Topical application of fluoride varnish	<1%	270	$4K
90656		<1%	538	$4K
83655		<1%	388	$4K
0071A		<1%	76	$3K
99222	Initial hospital care, per day, moderate complexity	<1%	27	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	66	$2K
99383		<1%	25	$2K
96161		<1%	635	$2K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	43	$1K
94664		<1%	110	$1K
94010		<1%	61	$1K
94760		<1%	515	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	55	$1K
90651		<1%	178	$1K
90696		<1%	28	$737.13
90480		<1%	18	$410.18
90734		<1%	27	$148.77
85018		<1%	80	$146.36
90619		<1%	12	$97.64

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 officialNORTHCRAFT, GARY (PRACTICE ADMINISTRATOR)