Park Place Medical

Park Place Medical was paid $88K by Medicaid between Jan 2018 and Mar 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoPARK PLACE MEDICAL
MUSTANG, OK 73064

33aNPI1114334885assigned 07/15/2014

33bProvider typePediatrics Physician

28Total paid$88K

24GClaims1,530

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Pediatrics Physician providers in Oklahoma

Rank by total paid#56 of 94

Median peer was paid$204K

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	59	$3K
2019	283	$11K
2020	146	$5K
2021	295	$15K
2022	241	$17K
2023	373	$28K
2024incomplete	133	$10K

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	91%	1,135	1,014	$80K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	4.7%	171	168	$4K
90460	Immunization administration through 18 years of age via any route, first or only component	1.7%	74	71	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.3%	13	13	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.0%	109	108	$909.43
90686		0%	16	16	$0.00
90685		0%	12	12	$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 officialCOSBY, DONNA (OWNER)