Clinic
The Pediatric Clinic of NLR, P.A.
The Pediatric Clinic of NLR, P.A. was paid $4.93M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoTHE PEDIATRIC CLINIC OF NLR, P.A.
SHERWOOD, AR 72120
SHERWOOD, AR 72120
33aNPI1588692198assigned 06/30/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$4.93M
24GClaims134,191
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Arkansas
Rank by total paid#1 of 19
Median peer was paid$22K
This provider vs. median223×
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 | 22,046 | $827K | |
| 2019 | 28,759 | $931K | |
| 2020 | 22,624 | $790K | |
| 2021 | 25,752 | $914K | |
| 2022 | 16,670 | $682K | |
| 2023 | 11,179 | $458K | |
| 2024incomplete | 7,161 | $323K |
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 | 41% | 32,452 | 29,192 | $2.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 22,604 | 20,643 | $727K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.9% | 7,465 | 6,895 | $390K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 6,365 | 5,858 | $333K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.9% | 2,281 | 2,146 | $243K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.0% | 3,441 | 3,112 | $147K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 2,809 | 2,566 | $144K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 1,732 | 1,510 | $83K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 8,082 | 7,208 | $73K |
| 90670 | 1.5% | 7,120 | 6,545 | $72K | |
| 90648 | 1.2% | 4,780 | 4,510 | $60K | |
| 99460 | 1.2% | 749 | 610 | $58K |
52 more codes
| 99381 | 1.2% | 1,183 | $57K | |
| 90686 | 1.2% | 4,794 | $57K | |
| 90723 | 1.1% | 5,289 | $53K | |
| 99205 | Prolong outpt/office vis | <1% | 438 | $46K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 902 | $38K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 889 | $35K |
| 90633 | <1% | 2,755 | $27K | |
| 90681 | <1% | 2,437 | $25K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,657 | $21K |
| 90716 | <1% | 1,994 | $20K | |
| 90707 | <1% | 1,978 | $20K | |
| 87631 | <1% | 152 | $19K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 82 | $18K |
| 90688 | <1% | 1,264 | $18K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 348 | $16K |
| 90647 | <1% | 2,046 | $16K | |
| 54150 | <1% | 81 | $13K | |
| 0071A | <1% | 106 | $9K | |
| 0072A | <1% | 95 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 77 | $6K |
| 83655 | <1% | 388 | $6K | |
| 90734 | <1% | 388 | $4K | |
| 90700 | <1% | 390 | $4K | |
| 99463 | <1% | 43 | $4K | |
| 90656 | <1% | 275 | $4K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 29 | $3K |
| 90651 | <1% | 294 | $3K | |
| 0001A | <1% | 47 | $2K | |
| 81003 | <1% | 1,543 | $2K | |
| 90696 | <1% | 190 | $2K | |
| 0002A | <1% | 32 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 44 | $1K |
| 82247 | <1% | 164 | $1K | |
| 96127 | <1% | 371 | $1K | |
| 99173 | <1% | 286 | $830.00 | |
| 80061 | Lipid panel | <1% | 43 | $690.08 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 61 | $639.62 |
| 93000 | <1% | 29 | $608.05 | |
| 81025 | <1% | 76 | $571.12 | |
| 90677 | <1% | 43 | $525.60 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 34 | $396.48 |
| 90715 | <1% | 36 | $349.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 53 | $78.84 |
| 94760 | <1% | 179 | $28.60 | |
| 91307 | <1% | 263 | $2.07 | |
| 91300 | <1% | 17 | $0.13 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 245 | $0.00 |
| 36416 | 0% | 49 | $0.00 | |
| 3044F | 0% | 29 | $0.00 | |
| G9315 | Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis | 0% | 51 | $0.00 |
| 99462 | 0% | 19 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 33 | $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 officialSIMS, TONYA (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| The Pediatric Clinic of NLR, P.A. | Cabot, AR | $332K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.