NP / PA
Kidz 1ST Clinic, LLC
Kidz 1ST Clinic, LLC was paid $2.93M by Medicaid between Mar 2020 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoKIDZ 1ST CLINIC, LLC
YAZOO CITY, MS 39194
YAZOO CITY, MS 39194
33aNPI1083265284assigned 09/27/2019
33bProvider typePediatric Nurse Practitioner
28Total paid$2.93M
24GClaims112,913
24DCodes billed68
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Mississippi
Rank by total paid#1 of 13
Median peer was paid$57K
This provider vs. median51×
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 | 6,150 | $144K | |
| 2021 | 21,598 | $474K | |
| 2022 | 35,650 | $670K | |
| 2023 | 36,133 | $1.03M | |
| 2024incomplete | 13,382 | $613K |
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 | 48% | 20,617 | 14,088 | $1.40M |
| 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 | 19% | 9,242 | 6,066 | $562K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 3,201 | 2,392 | $209K |
| D0999 | Unspecified diagnostic procedure, by report | 6.9% | 1,501 | 1,216 | $202K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 2,706 | 2,017 | $156K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 1,955 | 1,591 | $95K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.1% | 943 | 843 | $61K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 558 | 390 | $35K |
| D0140 | Limited oral evaluation - problem focused | <1% | 493 | 432 | $29K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 552 | 321 | $28K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,388 | 4,547 | $18K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 260 | 205 | $16K |
56 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 362 | $15K |
| 99050 | <1% | 1,583 | $11K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 183 | $11K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12,719 | $10K |
| D0330 | Panoramic radiographic image | <1% | 568 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 169 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 143 | $6K |
| D1120 | Dental cleaning, child | <1% | 1,419 | $5K |
| 99381 | <1% | 57 | $5K | |
| 99051 | <1% | 488 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,349 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 153 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 53 | $3K |
| 96161 | <1% | 2,567 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,553 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 323 | $2K |
| 90686 | <1% | 1,158 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 245 | $2K |
| 90670 | <1% | 2,549 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 16 | $1K |
| 90461 | <1% | 4,655 | $1K | |
| 92551 | <1% | 785 | $1K | |
| D1351 | Sealant - per tooth | <1% | 78 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 8,419 | $878.89 |
| 96127 | <1% | 1,664 | $501.77 | |
| 90633 | <1% | 1,159 | $360.91 | |
| 85018 | <1% | 527 | $138.97 | |
| 99173 | <1% | 1,057 | $134.37 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 8,109 | $26.82 |
| 90680 | <1% | 2,107 | $0.61 | |
| 90677 | <1% | 182 | $0.53 | |
| 90671 | <1% | 360 | $0.43 | |
| 90710 | <1% | 99 | $0.04 | |
| 90698 | <1% | 1,347 | $0.03 | |
| 90696 | <1% | 40 | $0.03 | |
| 90697 | 0% | 983 | $0.00 | |
| 90744 | 0% | 437 | $0.00 | |
| 90716 | 0% | 147 | $0.00 | |
| 3008F | 0% | 1,438 | $0.00 | |
| 96380 | 0% | 35 | $0.00 | |
| 87807 | 0% | 61 | $0.00 | |
| 90381 | 0% | 25 | $0.00 | |
| 90651 | 0% | 126 | $0.00 | |
| 0001A | 0% | 34 | $0.00 | |
| 90723 | 0% | 30 | $0.00 | |
| 81002 | 0% | 547 | $0.00 | |
| 90707 | 0% | 147 | $0.00 | |
| 91300 | 0% | 61 | $0.00 | |
| 90700 | 0% | 28 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 96 | $0.00 |
| 96160 | 0% | 706 | $0.00 | |
| 90715 | 0% | 62 | $0.00 | |
| 90648 | 0% | 46 | $0.00 | |
| 90672 | 0% | 148 | $0.00 | |
| 90734 | 0% | 70 | $0.00 | |
| 90380 | 0% | 25 | $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 officialBOWEN, TIFFANY (OWNER)