The Center for Pediatrics and Adolescent Medicine
The Center for Pediatrics and Adolescent Medicine was paid $2.68M by Medicaid between Jan 2018 and Jul 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoTHE CENTER FOR PEDIATRICS AND ADOLESCENT MEDICINE
FORT SMITH, AR 72903
FORT SMITH, AR 72903
33aNPI1043225709assigned 07/30/2006
33bProvider typeSpecialist
28Total paid$2.68M
24GClaims54,452
24DCodes billed24
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Specialist providers in Arkansas
Rank by total paid#8 of 123
Median peer was paid$38K
This provider vs. median70×
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 | 7,488 | $383K | |
| 2019 | 11,078 | $529K | |
| 2020 | 10,317 | $472K | |
| 2021 | 12,762 | $617K | |
| 2022 | 10,653 | $531K | |
| 2023 | 1,951 | $137K | |
| 2024incomplete | 203 | $12K |
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 | 22% | 16,761 | 14,646 | $579K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 9,039 | 7,381 | $463K |
| 99460 | 13% | 3,994 | 3,445 | $340K | |
| 54150 | 9.4% | 1,807 | 1,624 | $251K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 5,071 | 4,401 | $245K |
| 99238 | Hospital discharge day management, 30 minutes or less | 8.7% | 4,823 | 4,122 | $233K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 3,200 | 2,741 | $147K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.7% | 669 | 304 | $125K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 1,760 | 1,501 | $83K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 2,269 | 1,727 | $56K |
| 99464 | 1.4% | 640 | 554 | $38K | |
| 99462 | 1.1% | 2,030 | 1,715 | $30K |
12 more codes
| 99220 | <1% | 177 | $22K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 302 | $20K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 272 | $11K |
| 99223 | Prolong inpt eval add15 m | <1% | 89 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 633 | $9K |
| 99217 | <1% | 155 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 351 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 335 | $4K |
| 99382 | <1% | 13 | $819.17 | |
| 99381 | <1% | 19 | $807.12 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | $769.99 |
| 99000 | 0% | 27 | $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 officialCHESHIER, JAMES (OWNER)