Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pelikan, Diliane

Pelikan, Diliane was paid $226K by Medicaid between Jan 2018 and Jun 2020, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 54% of everything it billed.

33Billing provider infoPELIKAN, DILIANE
FLORISSANT, MO 63031
33aNPI1508811787assigned 05/24/2006
33bProvider typePediatrics Physician
28Total paid$226K
24GClaims2,313
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#163 of 992
Median peer was paid$40K
This provider vs. median5.6×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,203$89K
2019922$109K
2020188$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 54% 920 876 $122K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 41% 1,120 1,061 $93K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.4% 135 134 $8K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life <1% 13 13 $1K
99053 <1% 125 125 $1K

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.