Physician
Winghaven Pediatrics LLC
Winghaven Pediatrics LLC was paid $131K by Medicaid between Sep 2020 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.
33Billing provider infoWINGHAVEN PEDIATRICS LLC
O FALLON, MO 63368
O FALLON, MO 63368
33aNPI1568596922assigned 03/15/2007
33bProvider typePediatrics Physician
28Total paid$131K
24GClaims2,018
24DCodes billed9
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#272 of 992
Median peer was paid$40K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2020 | 135 | $3K | |
| 2021 | 420 | $19K | |
| 2022 | 554 | $37K | |
| 2023 | 479 | $38K | |
| 2024incomplete | 430 | $35K |
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 | 80% | 1,484 | 1,405 | $104K |
| 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 | 17% | 222 | 210 | $22K |
| 90686 | <1% | 154 | 154 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 27 | 24 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | 12 | $965.40 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 64 | 32 | $921.58 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 28 | 27 | $792.14 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 13 | $188.43 |
| 90656 | <1% | 14 | 14 | $138.68 |
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 officialLOEFFLER, HOLLY (OFFICE MANAGER)