NP / PA
Des Moines Pediatric & Adolescent Clinic
Des Moines Pediatric & Adolescent Clinic was paid $854K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoDES MOINES PEDIATRIC & ADOLESCENT CLINIC
DES MOINES, IA 50310
DES MOINES, IA 50310
33aNPI1194991109assigned 04/30/2008
33bProvider typePediatric Nurse Practitioner
28Total paid$854K
24GClaims35,477
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Iowa
Rank by total paid#1 of 11
Median peer was paid$20K
This provider vs. median42×
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 | 7,891 | $177K | |
| 2019 | 6,581 | $154K | |
| 2020 | 4,558 | $102K | |
| 2021 | 4,856 | $125K | |
| 2022 | 4,545 | $106K | |
| 2023 | 3,901 | $99K | |
| 2024incomplete | 3,145 | $90K |
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 | 42% | 11,542 | 10,158 | $362K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 21% | 5,416 | 5,207 | $176K |
| 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 | 6.3% | 1,182 | 1,013 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 629 | 616 | $38K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.7% | 964 | 864 | $32K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.4% | 3,623 | 3,456 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 392 | 386 | $27K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.0% | 711 | 603 | $26K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 370 | 355 | $23K |
| 96127 | 2.3% | 235 | 216 | $19K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.7% | 187 | 167 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 197 | 186 | $12K |
25 more codes
| 90461 | 1.2% | 1,063 | $10K | |
| 90686 | <1% | 1,635 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 119 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 309 | $4K |
| 80061 | Lipid panel | <1% | 199 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 183 | $2K |
| 90651 | <1% | 55 | $2K | |
| 0072A | <1% | 45 | $2K | |
| 87070 | <1% | 158 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 28 | $1K |
| 85018 | <1% | 520 | $1K | |
| 36416 | <1% | 4,843 | $949.89 | |
| 0071A | <1% | 40 | $933.38 | |
| 81003 | <1% | 395 | $640.27 | |
| 90734 | <1% | 28 | $603.09 | |
| 90619 | <1% | 29 | $602.32 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $344.96 |
| 83655 | <1% | 30 | $338.43 | |
| 90698 | <1% | 89 | $262.41 | |
| 90715 | <1% | 16 | $225.30 | |
| 90688 | <1% | 66 | $134.60 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | $60.99 |
| 90633 | <1% | 14 | $31.95 | |
| 90656 | 0% | 31 | $0.00 | |
| 90670 | 0% | 95 | $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 officialFORNOFF, ROB (OWNER)