NP / PA
Ada Pediatric Clinic
Ada Pediatric Clinic was paid $786K by Medicaid between Jan 2018 and Feb 2022, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoADA PEDIATRIC CLINIC
ADA, OK 74820
ADA, OK 74820
33aNPI1255671806assigned 02/19/2013
33bProvider typePediatric Nurse Practitioner
28Total paid$786K
24GClaims18,126
24DCodes billed36
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Oklahoma
Rank by total paid#3 of 6
Median peer was paid$254K
This provider vs. median3.1×
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 | 6,051 | $248K | |
| 2019 | 5,475 | $216K | |
| 2020 | 3,141 | $142K | |
| 2021 | 3,182 | $158K | |
| 2022 | 277 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 4,168 | 3,896 | $372K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 2,261 | 2,137 | $148K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 637 | 637 | $58K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.8% | 3,015 | 2,985 | $54K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 610 | 584 | $52K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.7% | 1,315 | 1,311 | $37K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 336 | 336 | $30K |
| 92567 | 1.2% | 757 | 710 | $10K | |
| 96127 | <1% | 1,178 | 1,174 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 41 | 41 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 173 | 167 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 294 | 293 | $2K |
24 more codes
| 90474 | <1% | 124 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 83655 | <1% | 130 | $1K | |
| 92551 | <1% | 154 | $1K | |
| 99188 | <1% | 113 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 87 | $1K |
| 99460 | <1% | 13 | $1K | |
| 99462 | <1% | 24 | $995.28 | |
| 85018 | <1% | 315 | $713.04 | |
| 87428 | <1% | 19 | $558.41 | |
| 99173 | <1% | 231 | $526.42 | |
| 90473 | <1% | 14 | $256.76 | |
| 96161 | <1% | 12 | $60.00 | |
| 90670 | 0% | 335 | $0.00 | |
| 90633 | 0% | 55 | $0.00 | |
| 90672 | 0% | 27 | $0.00 | |
| 90658 | 0% | 12 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90698 | 0% | 310 | $0.00 | |
| 90744 | 0% | 15 | $0.00 | |
| 90686 | 0% | 441 | $0.00 | |
| 90688 | 0% | 735 | $0.00 | |
| 90680 | 0% | 139 | $0.00 | |
| 90716 | 0% | 12 | $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 officialWEESNER, RUTH (OWNER)