Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Tyus-Myles, April

Tyus-Myles, April was paid $312K by Medicaid between Jan 2018 and Jul 2020, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

33Billing provider infoTYUS-MYLES, APRIL
FERGUSON, MO 63135
33aNPI1033199062assigned 01/17/2006
33bProvider typePediatrics Physician
28Total paid$312K
24GClaims5,864
24DCodes billed25
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#114 of 992
Median peer was paid$40K
This provider vs. median7.7×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,115$133K
20192,266$116K
20201,483$63K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 23% 756 732 $71K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 20% 754 743 $63K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 747 691 $48K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 441 439 $42K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.8% 314 309 $30K
90698 4.9% 584 581 $15K
90670 3.0% 584 581 $9K
90680 1.9% 408 406 $6K
90686 1.8% 281 279 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.7% 50 47 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.3% 98 93 $4K
90744 1.0% 220 219 $3K
13 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 151 $3K
90633 <1% 100 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 81 $1K
99051 <1% 47 $598.78
83655 <1% 40 $484.46
90685 <1% 16 $325.26
90734 <1% 13 $285.97
90707 <1% 14 $280.63
96161 <1% 84 $233.80
90716 <1% 14 $160.28
85018 <1% 40 $95.20
90651 <1% 13 $90.66
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 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.