Physician
Pedistat, PLLC
Pedistat, PLLC was paid $29K by Medicaid between Dec 2021 and Jan 2022, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoPEDISTAT, PLLC
TULSA, OK 74135
TULSA, OK 74135
33aNPI1639515471assigned 05/20/2013
33bProvider typePediatrics Physician
28Total paid$29K
24GClaims377
24DCodes billed7
24AFirst – last monthDec 2021 – Jan 2022
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#70 of 94
Median peer was paid$204K
This provider vs. median0.1×
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 | 259 | $19K | |
| 2022 | 118 | $10K |
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 | 49% | 123 | 123 | $14K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 23% | 45 | 45 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 20% | 131 | 131 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 16 | 16 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 12 | 12 | $353.28 |
| 87807 | 1.2% | 30 | 30 | $349.50 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 20 | 20 | $294.00 |
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 officialWARLICK, ETHAN (MEDICAL DIRECTOR)