Managed care
Oakleaf Pediatric Clinic
Oakleaf Pediatric Clinic was paid $4K by Medicaid between Jan 2018 and Aug 2018, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoOAKLEAF PEDIATRIC CLINIC
EAU CLAIRE, WI 54701
EAU CLAIRE, WI 54701
33aNPI1043320245assigned 08/30/2006
33bProvider typePreferred Provider Organization
28Total paid$4K
24GClaims165
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Preferred Provider Organization providers in Wisconsin
Rank by total paid#3 of 5
Median peer was paid$4K
This provider vs. median1.0×
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 | 165 | $4K |
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 | 62% | 92 | 71 | $2K |
| 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 | 35% | 29 | 24 | $1K |
| 3008F | 3.5% | 22 | 13 | $140.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 22 | 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.
From NPPES
Who's on the registration
Authorized officialSCHLIMGEN, KARLA (CO-OWNER)