Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EDMOND PEDIATRICS

NPI: 1548505258 · EDMOND, OK 73003 · Pediatrics Physician · NPI assigned 12/06/2012

$4.31M
Total Medicaid Paid
83,575
Total Claims
80,512
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKROUS, TIMOTHY (MD)
NPI Enumeration Date12/06/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,566 $431K
2019 9,662 $496K
2020 8,794 $451K
2021 10,493 $629K
2022 14,351 $782K
2023 18,077 $871K
2024 12,632 $648K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,942 20,317 $1.55M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,326 6,120 $643K
90460 Immunization administration through 18 years of age via any route, first or only component 12,318 12,306 $575K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,853 5,853 $544K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,744 4,560 $412K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,483 1,461 $206K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 984 983 $91K
87428 1,934 1,895 $56K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,462 4,631 $48K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 453 450 $38K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,451 2,408 $35K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 927 918 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,261 1,260 $23K
96161 2,186 2,143 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 337 329 $9K
96127 1,386 1,382 $5K
0071A 113 113 $5K
0072A 108 108 $4K
87807 349 341 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 28 28 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 46 44 $2K
83655 181 180 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 96 94 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 12 12 $2K
99383 13 13 $1K
90480 29 29 $1K
99460 13 13 $1K
54150 12 12 $1K
85018 194 194 $425.60
99173 66 66 $168.32
90686 3,009 3,009 $78.14
90656 275 275 $0.03
90677 462 462 $0.02
90716 315 315 $0.00
90647 1,521 1,521 $0.00
90723 1,742 1,741 $0.00
90680 1,366 1,366 $0.00
91307 246 230 $0.00
90696 13 13 $0.00
90670 2,804 2,804 $0.00
90707 251 251 $0.00
90633 184 184 $0.00
90672 24 24 $0.00
91308 27 25 $0.00
90671 14 14 $0.00
96160 15 15 $0.00