Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Kennett › NPI 1063414704
Physician

Kennett Pediatrics and Adolescents Medicine LLC

Kennett Pediatrics and Adolescents Medicine LLC was paid $2.75M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.

33Billing provider infoKENNETT PEDIATRICS AND ADOLESCENTS MEDICINE LLC
KENNETT, MO 63857
33aNPI1063414704assigned 08/12/2005
33bProvider typePediatrics Physician
28Total paid$2.75M
24GClaims43,359
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#9 of 992
Median peer was paid$40K
This provider vs. median68×

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$50K$100K$150K2018201920202021202220232024
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
201814,759$1.03M
201913,416$941K
20206,276$428K
20211,106$36K
2022505$19K
20234,750$192K
2024incomplete2,547$104K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 72% 26,801 23,217 $1.98M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 9,583 8,054 $514K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.4% 2,558 2,446 $120K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.6% 822 813 $45K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 533 526 $24K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 613 584 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 605 574 $15K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 59 59 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 855 810 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 98 96 $4K
87807 <1% 313 299 $3K
90697 <1% 65 62 $2K
10 more codes
90698 <1% 39 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 27 $1K
90710 <1% 33 $1K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 73 $1K
90670 <1% 135 $997.99
90633 <1% 79 $554.14
90681 <1% 25 $193.68
90380 <1% 18 $121.05
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13 $67.50
81002 <1% 12 $31.46

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 officialBEACH, ANDREW (MD OWNER)