Clinic
Poplar Bluff Pediatric Assoc LL
Poplar Bluff Pediatric Assoc LL was paid $26K by Medicaid between Jan 2018 and Feb 2019, across 6 billing codes. Its largest line is 87880, Infectious agent antigen detection by immunoassay; Streptococcus, group A — 40% of everything it billed.
33Billing provider infoPOPLAR BLUFF PEDIATRIC ASSOC LL
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
33aNPI1457881963assigned 06/16/2017
33bProvider typeRural Health Clinic/Center
28Total paid$26K
24GClaims2,368
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in Missouri
Rank by total paid#194 of 227
Median peer was paid$306K
This provider vs. median0.1×
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 | 1,891 | $20K | |
| 2019 | 477 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 40% | 882 | 822 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 26% | 494 | 238 | $7K |
| 87807 | 17% | 355 | 334 | $4K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 8.6% | 296 | 272 | $2K |
| 83655 | 5.6% | 118 | 111 | $1K | |
| 94760 | 2.2% | 223 | 200 | $559.12 |
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 officialMOSS, TIFFANY (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Poplar Bluff Pediatric Assoc LL | Poplar Bluff, MO | $1.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.