Hometown Pediatrics of Joplin

Hometown Pediatrics of Joplin was paid $1.97M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoHOMETOWN PEDIATRICS OF JOPLIN
JOPLIN, MO 64804

33aNPI1215337118assigned 08/27/2014

33bProvider typePediatrics Physician

28Total paid$1.97M

24GClaims41,694

24DCodes billed37

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#15 of 992

Median peer was paid$40K

This provider vs. median49×

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	337	$11K
2019	271	$12K
2020	3,430	$120K
2021	8,750	$295K
2022	10,723	$497K
2023	11,597	$594K
2024incomplete	6,586	$439K

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	32%	11,755	10,934	$630K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	19%	5,098	4,753	$377K
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	18%	4,796	4,504	$360K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	15%	3,837	3,733	$298K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.0%	1,012	965	$79K
90723		2.9%	1,819	1,747	$57K
99238	Hospital discharge day management, 30 minutes or less	1.5%	627	598	$30K
95117		1.3%	2,657	937	$26K
99460		1.0%	302	288	$21K
90648		<1%	2,721	2,632	$17K
90670		<1%	2,485	2,421	$16K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	1,123	1,078	$14K

25 more codes

87428		<1%	190	$10K
90686		<1%	1,507	$9K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	<1%	57	$6K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	86	$6K
90681		<1%	472	$3K
90633		<1%	352	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	56	$1K
99232	Hospital visit by a doctor, follow-up day	<1%	25	$1K
99051		<1%	119	$1K
90672		<1%	76	$596.79
90656		<1%	59	$459.11
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	37	$450.89
99462		<1%	16	$414.17
90710		<1%	16	$346.88
90677		<1%	44	$337.11
96161		<1%	120	$301.86
90696		<1%	12	$260.64
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	20	$196.38
88738		<1%	26	$105.22
90734		<1%	12	$98.28
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	77	$92.73
81002		<1%	26	$67.44
85018		<1%	28	$52.94
99401		<1%	16	$10.00
90472	Immunization administration, each additional vaccine (list separately)	0%	13	$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 officialSMITH, SHARI (OWNER)