Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Winkler, April

Winkler, April was paid $152K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoWINKLER, APRIL
KIRKSVILLE, MO 63501
33aNPI1104273861assigned 05/23/2016
28Total paid$152K
24GClaims1,329
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Family Nurse Practitioner providers in Missouri

Rank by total paid#37 of 745
Median peer was paid$11K
This provider vs. median14×

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$5.0K$10K$15K2018201920202021202220232024
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
2018859$99K
2019369$41K
2020101$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67% 969 885 $102K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16% 164 163 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 138 138 $21K
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 1.4% 13 13 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.1% 20 20 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 25 24 $773.00

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.