Prairie Pediatrics, PC

Prairie Pediatrics, PC was paid $6.42M by Medicaid between Jan 2018 and Feb 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.

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	33,133	$1.14M
2019	32,750	$1.19M
2020	33,152	$1.13M
2021	35,409	$1.18M
2022	35,748	$1.25M
2023	14,958	$526K
2024incomplete	85	$255.00

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	22%	34,942	31,849	$1.41M
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	16%	16,900	15,456	$1.02M
90460	Immunization administration through 18 years of age via any route, first or only component	12%	16,953	16,183	$778K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	11%	8,762	8,450	$684K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	10%	9,516	9,031	$672K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.2%	6,823	6,561	$528K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.1%	3,891	3,701	$325K
96127		3.0%	3,764	3,569	$194K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.7%	1,832	1,730	$172K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.9%	8,685	8,154	$125K
90461		1.9%	9,742	9,341	$125K
90686		<1%	10,486	10,068	$55K

37 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	2,899	$36K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,193	$36K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	685	$27K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	410	$26K
90670		<1%	6,874	$24K
90651		<1%	1,118	$22K
90734		<1%	881	$16K
83655		<1%	952	$15K
90647		<1%	4,582	$14K
81002		<1%	3,946	$13K
90723		<1%	4,706	$12K
85018		<1%	4,276	$11K
99188		<1%	740	$10K
99238	Hospital discharge day management, 30 minutes or less	<1%	186	$10K
90680		<1%	3,841	$10K
99460		<1%	123	$8K
90633		<1%	2,025	$8K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	128	$7K
90620		<1%	242	$6K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	694	$3K
99215	Doctor's office visit, returning patient (complex)	<1%	26	$3K
87807		<1%	171	$2K
90696		<1%	113	$1K
90710		<1%	102	$1K
90715		<1%	154	$971.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	46	$712.82
W0037		<1%	188	$564.00
87400		<1%	66	$415.86
94760		<1%	207	$385.30
90716		<1%	102	$297.24
90700		<1%	57	$284.15
81025		<1%	31	$215.91
90707		<1%	90	$207.60
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	12	$194.12
36416		<1%	4,195	$75.65
2014F		<1%	3,571	$20.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	3,307	$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 officialOLSEN, MELANIE (BUSINESS MANAGER)