Davis, Petisha

Davis, Petisha was paid $824.55 by Medicaid between Oct 2018 and Oct 2018, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.

33Billing provider infoDAVIS, PETISHA
EXCELSIOR SPRINGS, MO 64024

33aNPI1134589542assigned 02/26/2016

33bProvider typeFamily Nurse Practitioner

28Total paid$824.55

24GClaims21

24DCodes billed1

24AFirst – last monthOct 2018 – Oct 2018

Compared with peers

Next to other Family Nurse Practitioner providers in Missouri

Rank by total paid#647 of 745

Median peer was paid$11K

This provider vs. median0.1×

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	21	$824.55

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	100%	21	17	$824.55

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.