Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › WARR ACRES › GRAND PRAIRIE PEDIATRICS

GRAND PRAIRIE PEDIATRICS

NPI: 1043551591 · WARR ACRES, OK 73132 · Primary Care Clinic/Center · NPI assigned 03/08/2013

$1.52M
Total Medicaid Paid
26,650
Total Claims
25,845
Beneficiaries
34
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialZUBIALDE, JOHN (EXECUTIVE DEAN)
Parent OrganizationBOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
NPI Enumeration Date03/08/2013

Related Entities

Other providers sharing the same authorized official: ZUBIALDE, JOHN

ProviderCityStateTotal Paid
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU PHYSICIANS OKLAHOMA CITY OK $96.61M
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS OKLAHOMA CITY OK $3.08M
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA -OU PHYSICIANS GENETICS OKLAHOMA CITY OK $700K
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS OKLAHOMA CITY OK $294K
BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYS RESIDENTS CLINIC (INT OKLAHOMA CITY OK $32K
NE WELLNESS COMMUNITY HEALTH CLINIC OKLAHOMA CITY OK $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,216 $407K
2019 7,835 $483K
2020 7,698 $414K
2021 3,901 $212K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,837 4,575 $470K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,937 1,936 $264K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,580 1,518 $212K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,497 1,470 $190K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 670 670 $98K
90472 Immunization administration, each additional vaccine (list separately) 2,419 2,404 $74K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,110 4,091 $73K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,294 3,920 $53K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 178 176 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 79 79 $13K
92587 327 326 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 269 260 $9K
90474 493 493 $9K
96127 1,080 1,055 $8K
90460 Immunization administration through 18 years of age via any route, first or only component 125 124 $6K
92551 339 339 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 81 80 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 130 126 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
96161 212 210 $1K
99173 239 239 $901.54
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $545.60
99188 41 41 $449.05
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $336.81
90680 127 127 $0.00
90698 322 322 $0.00
90696 54 54 $0.00
90744 60 60 $0.00
90686 527 527 $0.00
90651 34 34 $0.00
90633 161 161 $0.00
90670 316 316 $0.00
90734 31 31 $0.00
90710 43 43 $0.00