Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Jefferson City › NPI 1184967960
Physician

Han, Autumn

Han, Autumn was paid $81K by Medicaid between Jan 2018 and Jul 2020, across 10 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 37% of everything it billed.

33Billing provider infoHAN, AUTUMN
JEFFERSON CITY, MO 65101
33aNPI1184967960assigned 03/31/2013
33bProvider typePediatrics Physician
28Total paid$81K
24GClaims1,488
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#345 of 992
Median peer was paid$40K
This provider vs. median2.0×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018987$53K
2019295$17K
2020206$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 37% 347 312 $30K
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 33% 336 320 $26K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 233 213 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.7% 80 80 $7K
90723 2.1% 81 80 $2K
90686 1.7% 190 185 $1K
90670 1.2% 132 131 $959.75
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.2% 23 20 $927.36
90647 <1% 40 40 $292.50
90685 <1% 26 26 $189.28

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.