Physician
Henley Pediatrics PLLC
Henley Pediatrics PLLC was paid $2.12M by Medicaid between Jul 2021 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoHENLEY PEDIATRICS PLLC
HOT SPRINGS, AR 71913
HOT SPRINGS, AR 71913
33aNPI1497336572assigned 04/19/2021
33bProvider typePediatrics Physician
28Total paid$2.12M
24GClaims62,220
24DCodes billed38
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Arkansas
Rank by total paid#14 of 108
Median peer was paid$225K
This provider vs. median9.4×
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 | |
|---|---|---|---|
| 2021 | 10,683 | $353K | |
| 2022 | 18,668 | $660K | |
| 2023 | 18,053 | $615K | |
| 2024incomplete | 14,816 | $494K |
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 | 37% | 24,377 | 19,665 | $795K |
| 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 | 25% | 8,276 | 7,257 | $538K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 3,648 | 3,135 | $180K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.2% | 3,586 | 2,908 | $174K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 2,257 | 1,841 | $105K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.5% | 1,913 | 1,669 | $73K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 868 | 736 | $42K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 2,041 | 1,768 | $22K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,859 | 1,654 | $20K |
| 90680 | <1% | 1,630 | 1,486 | $19K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 464 | 425 | $18K |
| 90670 | <1% | 1,348 | 1,224 | $16K |
26 more codes
| 90633 | <1% | 1,170 | $14K | |
| 90648 | <1% | 937 | $13K | |
| 90698 | <1% | 830 | $11K | |
| 99381 | <1% | 257 | $9K | |
| 90723 | <1% | 759 | $9K | |
| 90671 | <1% | 850 | $9K | |
| 90697 | <1% | 567 | $8K | |
| 90686 | <1% | 558 | $8K | |
| 90707 | <1% | 471 | $6K | |
| 90744 | <1% | 479 | $6K | |
| 90677 | <1% | 421 | $5K | |
| 90716 | <1% | 454 | $5K | |
| 87807 | <1% | 287 | $3K | |
| 90656 | <1% | 168 | $2K | |
| 90696 | <1% | 157 | $2K | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 833 | $2K |
| 90619 | <1% | 89 | $1K | |
| 90651 | <1% | 125 | $1K | |
| 90710 | <1% | 126 | $1K | |
| 90734 | <1% | 102 | $1K | |
| 90700 | <1% | 43 | $538.74 | |
| 90715 | <1% | 29 | $315.36 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 19 | $123.20 |
| 90461 | 0% | 78 | $0.00 | |
| 86328 | 0% | 46 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 98 | $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 officialHENLEY, ZANE (OWNER)