Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DES MOINES PEDIATRIC & ADOLESCENT CLINIC

NPI: 1194991109 · DES MOINES, IA 50310 · Pediatric Nurse Practitioner · NPI assigned 04/30/2008

$854K
Total Medicaid Paid
35,477
Total Claims
32,682
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFORNOFF, ROB (OWNER)
NPI Enumeration Date04/30/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,145 $90K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,542 10,158 $362K
90460 Immunization administration through 18 years of age via any route, first or only component 5,416 5,207 $176K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,182 1,013 $53K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 629 616 $38K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 964 864 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,623 3,456 $29K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 392 386 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 711 603 $26K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 370 355 $23K
96127 235 216 $19K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 187 167 $14K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 197 186 $12K
90461 1,063 1,042 $10K
90686 1,635 1,568 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 119 117 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 309 269 $4K
80061 Lipid panel 199 192 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 183 86 $2K
90651 55 55 $2K
0072A 45 45 $2K
87070 158 138 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 28 27 $1K
85018 520 494 $1K
36416 4,843 4,576 $949.89
0071A 40 40 $933.38
81003 395 376 $640.27
90734 28 28 $603.09
90619 29 28 $602.32
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $344.96
83655 30 26 $338.43
90698 89 89 $262.41
90715 16 16 $225.30
90688 66 65 $134.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 26 25 $60.99
90633 14 14 $31.95
90656 31 31 $0.00
90670 95 95 $0.00