Physician
Midtown Tulsa Pediatric Group PLLC
Midtown Tulsa Pediatric Group PLLC was paid $62K by Medicaid between Aug 2020 and Sep 2021, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoMIDTOWN TULSA PEDIATRIC GROUP PLLC
TULSA, OK 74112
TULSA, OK 74112
33aNPI1073150835assigned 11/28/2019
33bProvider typePediatrics Physician
28Total paid$62K
24GClaims1,151
24DCodes billed14
24AFirst – last monthAug 2020 – Sep 2021
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#59 of 94
Median peer was paid$204K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 297 | $11K | |
| 2021 | 854 | $51K |
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 | 36% | 323 | 317 | $22K |
| 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 | 20% | 121 | 115 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 267 | 266 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 89 | 86 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.5% | 69 | 63 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 27 | 27 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 13 | 13 | $1K |
| 90473 | <1% | 26 | 26 | $476.84 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | 13 | $108.03 |
| 90698 | 0% | 24 | 24 | $0.00 | |
| 90680 | 0% | 12 | 12 | $0.00 | |
| 90686 | 0% | 70 | 70 | $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 officialDUNLAP, RYAN (OFFICE MANAGER)