Physician
Waggoner Pediatrics, PLC
Waggoner Pediatrics, PLC was paid $216K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoWAGGONER PEDIATRICS, PLC
CLIVE, IA 50325
CLIVE, IA 50325
33aNPI1225572548assigned 12/05/2016
33bProvider typePediatrics Physician
28Total paid$216K
24GClaims7,876
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Iowa
Rank by total paid#10 of 42
Median peer was paid$47K
This provider vs. median4.6×
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 | 727 | $17K | |
| 2019 | 922 | $21K | |
| 2020 | 698 | $15K | |
| 2021 | 766 | $20K | |
| 2022 | 1,012 | $27K | |
| 2023 | 1,477 | $45K | |
| 2024incomplete | 2,274 | $72K |
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 | 39% | 2,510 | 2,190 | $85K |
| 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 | 25% | 1,046 | 938 | $55K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 1,043 | 994 | $37K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.8% | 873 | 830 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 71 | 70 | $5K |
| 90461 | 1.9% | 158 | 155 | $4K | |
| 87430 | 1.9% | 260 | 242 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 52 | 51 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 65 | 63 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 41 | 41 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 22 | 20 | $2K |
| 90686 | <1% | 278 | 268 | $2K |
14 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 16 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 61 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $1K |
| 96127 | <1% | 71 | $922.78 | |
| 87400 | <1% | 106 | $783.47 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $724.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $487.70 |
| 36416 | <1% | 909 | $373.01 | |
| 90674 | <1% | 76 | $342.84 | |
| 90661 | <1% | 18 | $128.00 | |
| 81003 | <1% | 28 | $70.89 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 61 | $70.20 |
| 99072 | <1% | 39 | $44.00 | |
| 90698 | 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 officialWAGGONER, JULIE (ARNP)