Physician
Poplar Bluff Pediatric Assoc LL
Poplar Bluff Pediatric Assoc LL was paid $1.33M by Medicaid between Jan 2018 and Feb 2019, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoPOPLAR BLUFF PEDIATRIC ASSOC LL
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
33aNPI1275676355assigned 02/15/2007
33bProvider typeGeneral Practice Physician
28Total paid$1.33M
24GClaims18,305
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other General Practice Physician providers in Missouri
Rank by total paid#3 of 69
Median peer was paid$11K
This provider vs. median117×
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 | 15,574 | $1.12M | |
| 2019 | 2,731 | $204K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 81% | 14,743 | 12,393 | $1.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,890 | 2,645 | $200K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 264 | 247 | $19K |
| 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 | 1.3% | 238 | 228 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | 81 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 80 | 79 | $6K |
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 officialMOSS, TIFFANY (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Poplar Bluff Pediatric Assoc LL | Poplar Bluff, MO | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.