Physician
Pediatric Associates of Southwest Missouri, LLC
Pediatric Associates of Southwest Missouri, LLC was paid $7.70M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF SOUTHWEST MISSOURI, LLC
JOPLIN, MO 64804
JOPLIN, MO 64804
33aNPI1518083435assigned 03/22/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$7.70M
24GClaims157,111
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Missouri
Rank by total paid#1 of 29
Median peer was paid$236K
This provider vs. median33×
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 | 2,602 | $81K | |
| 2019 | 2,669 | $83K | |
| 2020 | 13,556 | $465K | |
| 2021 | 29,741 | $1.09M | |
| 2022 | 35,471 | $1.70M | |
| 2023 | 39,734 | $2.27M | |
| 2024incomplete | 33,338 | $2.02M |
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 | 51% | 73,041 | 68,028 | $3.91M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 10,725 | 10,613 | $827K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 10,656 | 9,947 | $809K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.9% | 7,965 | 7,890 | $608K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 7.3% | 4,949 | 4,882 | $560K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 3,581 | 3,539 | $266K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.0% | 5,974 | 5,898 | $156K |
| 90723 | 1.5% | 4,818 | 4,785 | $113K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,195 | 1,166 | $60K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,193 | 4,114 | $53K |
| 99460 | <1% | 770 | 742 | $53K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 541 | 533 | $40K |
47 more codes
| 90670 | <1% | 5,051 | $29K | |
| 90680 | <1% | 4,103 | $26K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 492 | $24K |
| 90647 | <1% | 4,621 | $22K | |
| 90686 | <1% | 2,885 | $18K | |
| 90633 | <1% | 2,559 | $16K | |
| 90677 | <1% | 1,652 | $13K | |
| 90710 | <1% | 393 | $9K | |
| 90696 | <1% | 288 | $5K | |
| 90734 | <1% | 739 | $5K | |
| 99462 | <1% | 153 | $4K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 112 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 50 | $4K |
| 90715 | <1% | 293 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 252 | $4K |
| 99383 | <1% | 52 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 132 | $4K |
| 90651 | <1% | 535 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 93 | $3K |
| 0002A | <1% | 85 | $3K | |
| 90656 | <1% | 417 | $3K | |
| 83655 | <1% | 314 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 239 | $3K |
| 90700 | <1% | 202 | $3K | |
| 90707 | <1% | 209 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 224 | $3K |
| 0072A | <1% | 68 | $3K | |
| 0071A | <1% | 68 | $3K | |
| 80061 | Lipid panel | <1% | 152 | $2K |
| 54150 | <1% | 15 | $1K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 27 | $1K |
| 85018 | <1% | 798 | $1K | |
| 90716 | <1% | 237 | $1K | |
| 82947 | <1% | 306 | $913.98 | |
| 90674 | <1% | 176 | $868.40 | |
| 99384 | <1% | 12 | $770.28 | |
| 0001A | <1% | 18 | $720.00 | |
| 99381 | <1% | 13 | $689.34 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $667.03 |
| 90685 | <1% | 112 | $526.00 | |
| 87807 | <1% | 51 | $525.05 | |
| 81002 | <1% | 190 | $505.59 | |
| 99188 | <1% | 33 | $476.75 | |
| 90620 | <1% | 70 | $453.83 | |
| 36416 | <1% | 44 | $38.47 | |
| 99174 | <1% | 139 | $10.00 | |
| 91300 | 0% | 12 | $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 officialYARNALL, MICHELLE (MANAGING MEMBER)