Physician
Wold, Loralee
Wold, Loralee was paid $120K by Medicaid between Jan 2018 and Jul 2020, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoWOLD, LORALEE
ST. CHARLES, MO 63303
ST. CHARLES, MO 63303
33aNPI1376630368assigned 10/10/2006
33bProvider typePediatrics Physician
28Total paid$120K
24GClaims2,721
24DCodes billed12
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#288 of 992
Median peer was paid$40K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2018 | 1,250 | $55K | |
| 2019 | 976 | $41K | |
| 2020 | 495 | $24K |
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 | 39% | 959 | 856 | $47K |
| 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 | 28% | 442 | 410 | $33K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 8.3% | 599 | 538 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 103 | 101 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 75 | 72 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 70 | 70 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 137 | 97 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 26 | 26 | $2K |
| 90686 | 1.4% | 243 | 240 | $2K | |
| 90698 | <1% | 12 | 12 | $403.14 | |
| 90670 | <1% | 43 | 43 | $301.46 | |
| 90685 | <1% | 12 | 12 | $81.71 |
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.