Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DE QUEEN PEDIATRICS INC

NPI: 1295983237 · DE QUEEN, AR 71832 · General Practice Physician · NPI assigned 09/03/2008

$68K
Total Medicaid Paid
1,971
Total Claims
1,723
Beneficiaries
11
Codes Billed
2021-09
First Month
2023-04
Last Month

Provider Details

Authorized OfficialDEVLIN, TERRI (OWNER/PHYSICIAN)
NPI Enumeration Date09/03/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 340 $12K
2022 1,326 $41K
2023 305 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 761 659 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 293 262 $20K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 166 156 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 134 117 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 146 129 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 98 60 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 208 186 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $951.70
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $732.12
36415 Collection of venous blood by venipuncture 125 116 $315.54
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 15 14 $28.80