Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE CENTER FOR PEDIATRICS AND ADOLESCENT MEDICINE

NPI: 1043225709 · FORT SMITH, AR 72903 · Specialist · NPI assigned 07/30/2006

$2.68M
Total Medicaid Paid
54,452
Total Claims
46,381
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialCHESHIER, JAMES (OWNER)
NPI Enumeration Date07/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,488 $383K
2019 11,078 $529K
2020 10,317 $472K
2021 12,762 $617K
2022 10,653 $531K
2023 1,951 $137K
2024 203 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,761 14,646 $579K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,039 7,381 $463K
99460 3,994 3,445 $340K
54150 1,807 1,624 $251K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,071 4,401 $245K
99238 Hospital discharge day management, 30 minutes or less 4,823 4,122 $233K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,200 2,741 $147K
99233 Prolong inpt eval add15 m 669 304 $125K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,760 1,501 $83K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,269 1,727 $56K
99464 640 554 $38K
99462 2,030 1,715 $30K
99220 177 166 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 302 290 $20K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 272 250 $11K
99223 Prolong inpt eval add15 m 89 71 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 633 597 $9K
99217 155 146 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 351 319 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 335 317 $4K
99382 13 13 $819.17
99381 19 12 $807.12
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 16 15 $769.99
99000 27 24 $0.00