Physician
The Pediatric Group, PLLC
The Pediatric Group, PLLC was paid $1.31M by Medicaid between Oct 2021 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoTHE PEDIATRIC GROUP, PLLC
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
33aNPI1619036035assigned 12/08/2006
33bProvider typePediatrics Physician
28Total paid$1.31M
24GClaims24,110
24DCodes billed32
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#18 of 94
Median peer was paid$204K
This provider vs. median6.4×
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 | |
|---|---|---|---|
| 2021 | 2,500 | $120K | |
| 2022 | 8,677 | $467K | |
| 2023 | 8,752 | $478K | |
| 2024incomplete | 4,181 | $244K |
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 | 46% | 7,989 | 7,378 | $603K |
| 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 | 15% | 1,921 | 1,850 | $200K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,790 | 1,711 | $156K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 3,713 | 3,711 | $147K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 1,283 | 1,283 | $120K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 352 | 352 | $32K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 297 | 287 | $13K |
| 92551 | <1% | 1,198 | 1,198 | $12K | |
| 87428 | <1% | 386 | 380 | $11K | |
| 99188 | <1% | 560 | 560 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 209 | 207 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 181 | 181 | $3K |
20 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 85018 | <1% | 348 | $734.28 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 69 | $600.42 |
| 0071A | <1% | 12 | $480.00 | |
| 83655 | <1% | 38 | $409.26 | |
| 90656 | <1% | 43 | $198.50 | |
| 96127 | <1% | 26 | $101.24 | |
| 96161 | <1% | 12 | $60.00 | |
| 90688 | <1% | 1,063 | $20.91 | |
| 90697 | 0% | 494 | $0.00 | |
| 90680 | 0% | 537 | $0.00 | |
| 91307 | 0% | 47 | $0.00 | |
| 90677 | 0% | 284 | $0.00 | |
| 90698 | 0% | 225 | $0.00 | |
| 90744 | 0% | 51 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90670 | 0% | 738 | $0.00 | |
| 90707 | 0% | 61 | $0.00 | |
| 90633 | 0% | 144 | $0.00 | |
| 91311 | 0% | 13 | $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 officialDOOLEY, COLLEEN (PARTNER)