Medicaid Provider Spending

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

PRAIRIE PEDIATRICS, PC

NPI: 1306920319 · SIOUX CITY, IA 51105 · Pediatric Cardiology Physician · NPI assigned 10/25/2006

$6.42M
Total Medicaid Paid
185,235
Total Claims
174,391
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialOLSEN, MELANIE (BUSINESS MANAGER)
NPI Enumeration Date10/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 85 $255.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,942 31,849 $1.41M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,900 15,456 $1.02M
90460 Immunization administration through 18 years of age via any route, first or only component 16,953 16,183 $778K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,762 8,450 $684K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,516 9,031 $672K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,823 6,561 $528K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,891 3,701 $325K
96127 3,764 3,569 $194K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,832 1,730 $172K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,685 8,154 $125K
90461 9,742 9,341 $125K
90686 10,486 10,068 $55K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,899 2,745 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,193 1,116 $36K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 685 672 $27K
J1050 Injection, medroxyprogesterone acetate, 1 mg 410 369 $26K
90670 6,874 6,604 $24K
90651 1,118 1,029 $22K
90734 881 835 $16K
83655 952 931 $15K
90647 4,582 4,403 $14K
81002 3,946 3,702 $13K
90723 4,706 4,531 $12K
85018 4,276 4,022 $11K
99188 740 708 $10K
99238 Hospital discharge day management, 30 minutes or less 186 168 $10K
90680 3,841 3,698 $10K
99460 123 115 $8K
90633 2,025 1,938 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument 128 127 $7K
90620 242 232 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 694 597 $3K
99215 Prolong outpt/office vis 26 26 $3K
87807 171 163 $2K
90696 113 105 $1K
90710 102 95 $1K
90715 154 144 $971.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 22 $712.82
W0037 188 188 $564.00
87400 66 50 $415.86
94760 207 202 $385.30
90716 102 100 $297.24
90700 57 55 $284.15
81025 31 24 $215.91
90707 90 88 $207.60
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $194.12
36416 4,195 3,948 $75.65
2014F 3,571 3,393 $20.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,307 3,141 $0.00