Physician
Great River Pediatric Clinic
Great River Pediatric Clinic was paid $121K by Medicaid between Jan 2018 and Oct 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoGREAT RIVER PEDIATRIC CLINIC
BLYTHEVILLE, AR 72315
BLYTHEVILLE, AR 72315
33aNPI1467586131assigned 03/15/2007
33bProvider typePediatrics Physician
28Total paid$121K
24GClaims3,770
24DCodes billed24
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Arkansas
Rank by total paid#67 of 108
Median peer was paid$225K
This provider vs. median0.5×
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 | 3,451 | $106K | |
| 2019 | 61 | $2K | |
| 2023 | 83 | $4K | |
| 2024incomplete | 175 | $9K |
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 | 48% | 1,932 | 1,754 | $58K |
| 99406 | 10% | 616 | 606 | $12K | |
| 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 | 9.7% | 194 | 190 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 177 | 171 | $10K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 6.9% | 74 | 58 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 107 | 103 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 102 | 99 | $6K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.9% | 59 | 43 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 35 | 34 | $2K |
| 92567 | <1% | 58 | 56 | $752.40 | |
| 90633 | <1% | 77 | 76 | $717.00 | |
| 94010 | <1% | 19 | 19 | $574.18 |
12 more codes
| 94760 | <1% | 40 | $500.50 | |
| 90710 | <1% | 48 | $449.32 | |
| 90670 | <1% | 37 | $353.72 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $311.25 |
| 90651 | <1% | 31 | $296.36 | |
| 90734 | <1% | 29 | $277.24 | |
| 90696 | <1% | 29 | $258.12 | |
| 99188 | <1% | 14 | $219.45 | |
| 90698 | <1% | 20 | $172.08 | |
| 90744 | <1% | 16 | $152.96 | |
| 90680 | <1% | 15 | $133.84 | |
| 90715 | <1% | 13 | $124.28 |
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 officialASAFO-BOAKYE, BENJAMIN (PEDIATRICIAN)