Wuca-O'fallon Pediatrics, LLC

Wuca-O'fallon Pediatrics, LLC was paid $153K by Medicaid between Nov 2020 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoWUCA-O'FALLON PEDIATRICS, LLC
O FALLON, MO 63368

33aNPI1366830572assigned 12/23/2014

33bProvider typePediatrics Physician

28Total paid$153K

24GClaims2,742

24DCodes billed6

24AFirst – last monthNov 2020 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#246 of 992

Median peer was paid$40K

This provider vs. median3.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official EGHIGIAN, CATHY controls 20+ related entities in our dataset. Read more

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	14	$1K
2021	390	$24K
2022	708	$40K
2023	893	$50K
2024incomplete	737	$39K

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	64%	1,951	1,850	$98K
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	32%	652	637	$49K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.9%	54	54	$3K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.8%	27	27	$3K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	18	18	$775.65
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	40	40	$572.94

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 officialEGHIGIAN, CATHY (SENIOR DIRECTOR WU MANAGED CARE)

Same official

Other billing entities under EGHIGIAN, CATHY

Full network →

Provider	Location	Paid
Washington University	Saint Louis, MO	$22.01M
Washington University	Saint Louis, MO	$14.73M
Washington University	Saint Louis, MO	$10.34M
Washington University	Saint Louis, MO	$9.05M
Washington University	Saint Louis, MO	$6.86M
Washington University	Saint Louis, MO	$4.43M
Washington University	Saint Louis, MO	$4.04M
Washington University	Saint Louis, MO	$2.74M
Washington University	Saint Louis, MO	$2.04M
Wuca-Nash Pediatrics, LLC	Saint Louis, MO	$1.92M
Washington University	Saint Louis, MO	$1.89M
Washington University	Saint Louis, MO	$1.82M
Washington University	Saint Louis, MO	$1.64M
Washington University	Saint Louis, MO	$1.57M
Washington University	Saint Louis, MO	$1.57M
Washington University	Saint Charles, MO	$1.38M
Washington Univ Clinical Associates	Saint Louis, MO	$1.17M
Washington University	Florissant, MO	$1.03M
Washington University	Saint Louis, MO	$807K
Washington University	Saint Louis, MO	$758K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.