Great Plains Pediatrics, INC
Great Plains Pediatrics, INC was paid $32K by Medicaid between Jan 2018 and Apr 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoGREAT PLAINS PEDIATRICS, INC
LAWTON, OK 73505
LAWTON, OK 73505
33aNPI1063631562assigned 04/24/2007
33bProvider typeSpecialist
28Total paid$32K
24GClaims1,252
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Specialist providers in Oklahoma
Rank by total paid#40 of 72
Median peer was paid$72K
This provider vs. median0.4×
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 | 623 | $14K | |
| 2019 | 427 | $13K | |
| 2020 | 185 | $5K | |
| 2021 | 17 | $471.55 |
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 | 81% | 938 | 806 | $26K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 12% | 206 | 187 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.4% | 96 | 89 | $1K |
| 54150 | 3.3% | 12 | 12 | $1K |
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 officialLEGAKO, EDWARD (PRESIDENT)