Physician
Premier Pediatric and Adolescent Care of Bixby
Premier Pediatric and Adolescent Care of Bixby was paid $1.01M by Medicaid between May 2020 and Nov 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoPREMIER PEDIATRIC AND ADOLESCENT CARE OF BIXBY
BIXBY, OK 74008
BIXBY, OK 74008
33aNPI1326674177assigned 03/12/2020
33bProvider typePediatrics Physician
28Total paid$1.01M
24GClaims21,041
24DCodes billed36
24AFirst – last monthMay 2020 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#22 of 94
Median peer was paid$204K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2020 | 1,000 | $26K | |
| 2021 | 3,886 | $177K | |
| 2022 | 5,549 | $271K | |
| 2023 | 6,727 | $324K | |
| 2024incomplete | 3,879 | $211K |
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 | 49% | 6,478 | 5,999 | $496K |
| 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 | 17% | 1,595 | 1,521 | $169K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 944 | 940 | $86K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 748 | 718 | $65K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.0% | 859 | 842 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.7% | 2,040 | 2,026 | $37K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.2% | 1,124 | 1,121 | $32K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 2,863 | 2,748 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 236 | 233 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 549 | 544 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 422 | 412 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 40 | 40 | $4K |
24 more codes
| 96127 | <1% | 701 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 144 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 52 | $1K |
| 0071A | <1% | 27 | $945.00 | |
| 96161 | <1% | 145 | $725.00 | |
| 87807 | <1% | 56 | $652.40 | |
| 83655 | <1% | 51 | $549.27 | |
| 99188 | <1% | 15 | $169.20 | |
| 85018 | <1% | 50 | $105.50 | |
| 99173 | <1% | 28 | $59.74 | |
| 96160 | 0% | 522 | $0.00 | |
| 90670 | 0% | 398 | $0.00 | |
| 90633 | 0% | 122 | $0.00 | |
| 91311 | 0% | 12 | $0.00 | |
| 90671 | 0% | 57 | $0.00 | |
| 90661 | 0% | 16 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90697 | 0% | 69 | $0.00 | |
| 90723 | 0% | 81 | $0.00 | |
| 90674 | 0% | 185 | $0.00 | |
| 90686 | 0% | 282 | $0.00 | |
| 90647 | 0% | 66 | $0.00 | |
| 91307 | 0% | 38 | $0.00 | |
| 90696 | 0% | 13 | $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 officialMUNDY, RYAN (OWNER)