Physician
Duban, Carla
Duban, Carla was paid $1.59M by Medicaid between Jan 2018 and Jul 2020, across 31 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 17% of everything it billed.
33Billing provider infoDUBAN, CARLA
SAINT LOUIS, MO 63107
SAINT LOUIS, MO 63107
33aNPI1154670826assigned 09/10/2012
33bProvider typePediatrics Physician
28Total paid$1.59M
24GClaims18,010
24DCodes billed31
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#21 of 992
Median peer was paid$40K
This provider vs. median39×
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 | 9,841 | $889K | |
| 2019 | 5,939 | $479K | |
| 2020 | 2,230 | $225K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 1,417 | 1,388 | $271K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 1,328 | 1,301 | $259K |
| 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 | 13% | 1,152 | 1,091 | $212K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,869 | 1,737 | $201K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.0% | 1,148 | 1,030 | $143K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.5% | 1,613 | 1,511 | $136K |
| 92551 | 8.3% | 6,094 | 5,943 | $132K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 615 | 555 | $113K |
| 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% | 225 | 220 | $50K |
| 99173 | 2.2% | 1,332 | 1,283 | $35K | |
| 99381 | <1% | 35 | 35 | $9K | |
| 99382 | <1% | 47 | 45 | $8K |
19 more codes
| 99383 | <1% | 34 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 94 | $4K |
| 99384 | <1% | 13 | $3K | |
| 85027 | <1% | 56 | $2K | |
| 83655 | <1% | 44 | $2K | |
| 81003 | <1% | 101 | $1K | |
| 85018 | <1% | 86 | $1K | |
| 90670 | <1% | 272 | $1K | |
| 90651 | <1% | 51 | $607.67 | |
| 85014 | <1% | 35 | $596.05 | |
| 82947 | <1% | 29 | $507.79 | |
| 81025 | <1% | 17 | $433.41 | |
| 90734 | <1% | 18 | $137.63 | |
| 90698 | <1% | 140 | $100.33 | |
| 90686 | <1% | 83 | $72.72 | |
| 90744 | <1% | 24 | $0.24 | |
| 90681 | <1% | 13 | $0.13 | |
| 90633 | <1% | 13 | $0.13 | |
| 90715 | <1% | 12 | $0.12 |
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.