Physician
Broken Arrow Pediatrics, LLC
Broken Arrow Pediatrics, LLC was paid $1.95M by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoBROKEN ARROW PEDIATRICS, LLC
BROKEN ARROW, OK 74012
BROKEN ARROW, OK 74012
33aNPI1265879175assigned 05/31/2013
33bProvider typePediatrics Physician
28Total paid$1.95M
24GClaims46,222
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#8 of 94
Median peer was paid$204K
This provider vs. median9.6×
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 | 6,728 | $257K | |
| 2019 | 7,930 | $285K | |
| 2020 | 7,370 | $269K | |
| 2021 | 6,591 | $277K | |
| 2022 | 6,825 | $307K | |
| 2023 | 7,549 | $367K | |
| 2024incomplete | 3,229 | $191K |
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 | 36% | 10,295 | 9,781 | $709K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 2,838 | 2,837 | $258K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,459 | 2,410 | $210K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 2,158 | 2,158 | $191K |
| 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 | 8.5% | 1,606 | 1,581 | $166K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.9% | 6,374 | 6,354 | $115K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.8% | 3,856 | 3,851 | $113K |
| 92285 | 4.2% | 4,490 | 4,490 | $83K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 342 | 342 | $33K |
| 92551 | 1.5% | 3,076 | 3,074 | $30K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,462 | 1,437 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 368 | 364 | $5K |
31 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 53 | $5K |
| 99381 | <1% | 48 | $5K | |
| 87807 | <1% | 154 | $2K | |
| 96161 | <1% | 335 | $2K | |
| 99383 | <1% | 13 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 34 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $1K |
| 96127 | <1% | 198 | $805.67 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 52 | $447.66 |
| 85018 | <1% | 116 | $244.76 | |
| 85014 | <1% | 114 | $240.54 | |
| 83655 | <1% | 17 | $183.09 | |
| 90680 | 0% | 489 | $0.00 | |
| 90698 | 0% | 656 | $0.00 | |
| 90744 | 0% | 142 | $0.00 | |
| 90686 | 0% | 915 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90674 | 0% | 69 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 90696 | 0% | 29 | $0.00 | |
| 96160 | 0% | 1,537 | $0.00 | |
| 90670 | 0% | 1,393 | $0.00 | |
| 90700 | 0% | 25 | $0.00 | |
| 90633 | 0% | 264 | $0.00 | |
| 90710 | 0% | 98 | $0.00 | |
| 90734 | 0% | 29 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 90661 | 0% | 13 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 90671 | 0% | 14 | $0.00 | |
| 90715 | 0% | 14 | $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 officialPFANSTIEL, CARL (OWNER)