Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › University City › NPI 1285793356
Physician

Johnson, Denise

Johnson, Denise was paid $406K by Medicaid between Jan 2018 and May 2020, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.

33Billing provider infoJOHNSON, DENISE
UNIVERSITY CITY, MO 63130
33aNPI1285793356assigned 12/06/2006
33bProvider typePediatrics Physician
28Total paid$406K
24GClaims10,103
24DCodes billed23
24AFirst – last monthJan 2018 – May 2020
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#88 of 992
Median peer was paid$40K
This provider vs. median10×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20184,461$177K
20194,691$181K
2020951$49K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 20% 1,248 1,194 $81K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 1,844 1,740 $79K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 710 688 $50K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 684 665 $49K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10% 596 585 $43K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 10% 576 568 $42K
92551 6.8% 929 885 $28K
90723 2.9% 391 381 $12K
90686 <1% 607 598 $4K
90670 <1% 590 573 $4K
90710 <1% 133 126 $3K
90651 <1% 321 314 $2K
11 more codes
36415 Collection of venous blood by venipuncture <1% 257 $2K
90647 <1% 305 $2K
90680 <1% 250 $1K
90633 <1% 233 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 53 $1K
90734 <1% 144 $899.98
90685 <1% 133 $801.92
90715 <1% 31 $564.97
90698 <1% 15 $434.22
90696 <1% 13 $322.44
90621 <1% 40 $219.82

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.