Physician
NPI deactivated
Spiegel, Craig
Spiegel, Craig was paid $466K by Medicaid between Jan 2018 and Oct 2023, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoSPIEGEL, CRAIG
BRIDGETON, MO 63044
BRIDGETON, MO 63044
33aNPI1548262942assigned 08/15/2005
33bProvider typePediatrics Physician
28Total paid$466K
24GClaims6,980
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#77 of 992
Median peer was paid$40K
This provider vs. median11×
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 | 1,559 | $102K | |
| 2019 | 979 | $66K | |
| 2020 | 940 | $61K | |
| 2021 | 1,162 | $66K | |
| 2022 | 1,242 | $79K | |
| 2023 | 1,098 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 1,718 | 1,604 | $182K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 1,752 | 1,586 | $125K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 396 | 395 | $42K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 302 | 300 | $31K |
| 90686 | 5.0% | 969 | 966 | $23K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 204 | 203 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 165 | 160 | $17K |
| 90700 | 1.4% | 256 | 256 | $6K | |
| 92588 | 1.0% | 101 | 101 | $5K | |
| 90713 | <1% | 83 | 83 | $2K | |
| 99051 | <1% | 147 | 143 | $2K | |
| 90648 | <1% | 77 | 77 | $2K |
11 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 105 | $2K |
| 90670 | <1% | 57 | $1K | |
| 90685 | <1% | 44 | $1K | |
| 90734 | <1% | 26 | $650.52 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $496.50 |
| 90633 | <1% | 13 | $271.56 | |
| 90651 | <1% | 25 | $161.85 | |
| 0071A | 0% | 134 | $0.00 | |
| 91300 | 0% | 107 | $0.00 | |
| 91307 | 0% | 208 | $0.00 | |
| 0072A | 0% | 61 | $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.