Physician
Starkville Pediatric Clinic
Starkville Pediatric Clinic was paid $6.03M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoSTARKVILLE PEDIATRIC CLINIC
STARKVILLE, MS 39759
STARKVILLE, MS 39759
33aNPI1477660520assigned 08/24/2006
33bProvider typePediatrics Physician
28Total paid$6.03M
24GClaims164,394
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Mississippi
Rank by total paid#10 of 86
Median peer was paid$221K
This provider vs. median27×
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 | 27,228 | $1.09M | |
| 2019 | 32,384 | $1.14M | |
| 2020 | 30,536 | $1.06M | |
| 2021 | 26,993 | $1.11M | |
| 2022 | 25,478 | $738K | |
| 2023 | 14,205 | $536K | |
| 2024incomplete | 7,570 | $350K |
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 | 46% | 51,727 | 43,022 | $2.74M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 9,477 | 8,749 | $733K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 7,607 | 6,540 | $557K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.1% | 16,210 | 14,236 | $486K |
| 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 | 6.4% | 4,747 | 4,208 | $383K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 2,303 | 2,058 | $131K |
| 99460 | 2.1% | 1,588 | 1,438 | $125K | |
| 90670 | 2.0% | 7,460 | 6,850 | $122K | |
| 90461 | 1.8% | 12,075 | 10,926 | $106K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.7% | 1,080 | 692 | $104K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 2,081 | 1,883 | $68K |
| 99462 | 1.1% | 1,891 | 1,517 | $65K |
42 more codes
| 87428 | <1% | 2,210 | $49K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,339 | $49K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,848 | $48K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 3,114 | $48K |
| 90716 | <1% | 1,434 | $34K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,672 | $28K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 507 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,078 | $23K |
| 90707 | <1% | 1,427 | $20K | |
| 83655 | <1% | 1,978 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,269 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 178 | $13K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 812 | $6K |
| 90677 | <1% | 512 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 48 | $4K |
| 87081 | <1% | 549 | $3K | |
| 87807 | <1% | 418 | $3K | |
| 90651 | <1% | 48 | $3K | |
| 90686 | <1% | 1,267 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 92551 | <1% | 173 | $2K | |
| 99442 | <1% | 74 | $1K | |
| 90698 | <1% | 5,742 | $1K | |
| 99173 | <1% | 243 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 73 | $1K |
| 99381 | <1% | 15 | $611.82 | |
| 90715 | <1% | 94 | $590.89 | |
| 96127 | <1% | 108 | $264.86 | |
| 81002 | <1% | 91 | $208.99 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 34 | $208.59 |
| 90633 | <1% | 902 | $160.00 | |
| 96160 | <1% | 68 | $45.62 | |
| 90744 | <1% | 3,587 | $27.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 127 | $1.85 |
| 90656 | <1% | 14 | $0.30 | |
| 90680 | <1% | 5,340 | $0.13 | |
| 90696 | 0% | 340 | $0.00 | |
| 99000 | 0% | 168 | $0.00 | |
| 36416 | 0% | 974 | $0.00 | |
| 90697 | 0% | 1,067 | $0.00 | |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | 0% | 83 | $0.00 |
| 90710 | 0% | 109 | $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 officialRUFF, CINDY (CFO/OFFICE MANAGER)