Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GREAT RIVER PEDIATRIC CLINIC

NPI: 1467586131 · BLYTHEVILLE, AR 72315 · Pediatrics Physician · NPI assigned 03/15/2007

$121K
Total Medicaid Paid
3,770
Total Claims
3,508
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialASAFO-BOAKYE, BENJAMIN (PEDIATRICIAN)
NPI Enumeration Date03/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,451 $106K
2019 61 $2K
2023 83 $4K
2024 175 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,932 1,754 $58K
99406 616 606 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 194 190 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 177 171 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 74 58 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 107 103 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 102 99 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 59 43 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 35 34 $2K
92567 58 56 $752.40
90633 77 76 $717.00
94010 19 19 $574.18
94760 40 40 $500.50
90710 48 47 $449.32
90670 37 37 $353.72
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 28 13 $311.25
90651 31 31 $296.36
90734 29 29 $277.24
90696 29 28 $258.12
99188 14 12 $219.45
90698 20 19 $172.08
90744 16 16 $152.96
90680 15 14 $133.84
90715 13 13 $124.28