Clinic
Sibyl Downing LLC
Sibyl Downing LLC was paid $1.12M by Medicaid between Nov 2020 and Nov 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoSIBYL DOWNING LLC
SAINT JOSEPH, MO 64506
SAINT JOSEPH, MO 64506
33aNPI1457986051assigned 03/04/2020
33bProvider typePrimary Care Clinic/Center
28Total paid$1.12M
24GClaims22,026
24DCodes billed41
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Missouri
Rank by total paid#9 of 47
Median peer was paid$114K
This provider vs. median9.8×
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.
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 | 24 | $1K | |
| 2021 | 4,568 | $165K | |
| 2022 | 7,023 | $311K | |
| 2023 | 5,871 | $361K | |
| 2024incomplete | 4,540 | $279K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 4,050 | 3,809 | $313K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 5,022 | 4,666 | $290K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,823 | 1,675 | $143K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.8% | 1,252 | 1,238 | $98K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.7% | 309 | 303 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 794 | 771 | $30K |
| 99460 | 2.5% | 388 | 379 | $27K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 325 | 322 | $25K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.0% | 886 | 850 | $22K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 275 | 265 | $14K |
| 90723 | 1.2% | 513 | 495 | $14K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 270 | 257 | $13K |
29 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,004 | $12K |
| 90697 | <1% | 330 | $10K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 140 | $9K |
| 54150 | <1% | 69 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 601 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 74 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 65 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 151 | $5K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 117 | $4K |
| 90670 | <1% | 736 | $4K | |
| 90648 | <1% | 728 | $4K | |
| 99188 | <1% | 221 | $4K | |
| 90686 | <1% | 566 | $4K | |
| 90710 | <1% | 114 | $3K | |
| 90671 | <1% | 326 | $2K | |
| 90677 | <1% | 185 | $2K | |
| 90681 | <1% | 295 | $2K | |
| 92551 | <1% | 36 | $1K | |
| 87400 | <1% | 88 | $973.78 | |
| 90633 | <1% | 127 | $754.63 | |
| 99383 | <1% | 13 | $752.38 | |
| 99462 | <1% | 16 | $553.60 | |
| 90696 | <1% | 14 | $420.00 | |
| 0072A | <1% | 14 | $325.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 28 | $222.86 |
| 90715 | <1% | 13 | $217.80 | |
| 99173 | <1% | 16 | $100.80 | |
| 90651 | <1% | 14 | $72.63 | |
| 91307 | 0% | 18 | $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 officialDOWNING, SIBYL (OWNER)
Parent organizationREVEAL WELLNESS AND MED SPA