Medicaid Provider Spending

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

THE PEDIATRIC CLINIC OF NLR, P.A.

NPI: 1588692198 · SHERWOOD, AR 72120 · Medical Specialty Clinic/Center · NPI assigned 06/30/2006

$4.93M
Total Medicaid Paid
134,191
Total Claims
121,261
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMS, TONYA (ADMINISTRATOR)
NPI Enumeration Date06/30/2006

Related Entities

Other providers sharing the same authorized official: SIMS, TONYA

ProviderCityStateTotal Paid
THE PEDIATRIC CLINIC OF NLR, P.A. CABOT AR $332K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 7,161 $323K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32,452 29,192 $2.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,604 20,643 $727K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,465 6,895 $390K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,365 5,858 $333K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,281 2,146 $243K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,441 3,112 $147K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,809 2,566 $144K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,732 1,510 $83K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,082 7,208 $73K
90670 7,120 6,545 $72K
90648 4,780 4,510 $60K
99460 749 610 $58K
99381 1,183 1,034 $57K
90686 4,794 4,075 $57K
90723 5,289 4,876 $53K
99205 Prolong outpt/office vis 438 358 $46K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 902 811 $38K
99238 Hospital discharge day management, 30 minutes or less 889 756 $35K
90633 2,755 2,475 $27K
90681 2,437 2,278 $25K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,657 1,498 $21K
90716 1,994 1,746 $20K
90707 1,978 1,731 $20K
87631 152 146 $19K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 82 77 $18K
90688 1,264 1,213 $18K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 348 335 $16K
90647 2,046 1,747 $16K
54150 81 67 $13K
0071A 106 87 $9K
0072A 95 80 $8K
99215 Prolong outpt/office vis 77 66 $6K
83655 388 359 $6K
90734 388 340 $4K
90700 390 372 $4K
99463 43 41 $4K
90656 275 264 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 29 12 $3K
90651 294 246 $3K
0001A 47 44 $2K
81003 1,543 1,320 $2K
90696 190 161 $2K
0002A 32 30 $2K
71046 Radiologic examination, chest; 2 views 44 39 $1K
82247 164 123 $1K
96127 371 289 $1K
99173 286 263 $830.00
80061 Lipid panel 43 39 $690.08
83036 Hemoglobin; glycosylated (A1C) 61 54 $639.62
93000 29 25 $608.05
81025 76 67 $571.12
90677 43 40 $525.60
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 34 28 $396.48
90715 36 32 $349.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 53 42 $78.84
94760 179 173 $28.60
91307 263 212 $2.07
91300 17 13 $0.13
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 245 230 $0.00
36416 49 46 $0.00
3044F 29 26 $0.00
G9315 Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis 51 40 $0.00
99462 19 13 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 33 27 $0.00