Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

The Pediatric Clinic of NLR, P.A.

The Pediatric Clinic of NLR, P.A. was paid $332K by Medicaid between Sep 2021 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoTHE PEDIATRIC CLINIC OF NLR, P.A.
CABOT, AR 72023
33aNPI1669146346assigned 08/05/2021
28Total paid$332K
24GClaims6,711
24DCodes billed14
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers

Next to other Medical Specialty Clinic/Center providers in Arkansas

Rank by total paid#6 of 19
Median peer was paid$22K
This provider vs. median15×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2021989$46K
20222,730$139K
20231,981$93K
2024incomplete1,011$54K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 67% 3,385 3,101 $221K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 2,163 1,988 $71K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3.4% 100 97 $11K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.5% 197 180 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.6% 105 96 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.4% 81 79 $5K
90686 <1% 314 220 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 64 60 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 186 160 $1K
0072A <1% 13 13 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 26 12 $671.11
90656 <1% 29 27 $370.80
2 more codes
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 32 $278.46
91307 <1% 16 $0.16

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)
Parent organizationTHE PEDIATRIC CLINIC OF NLR, P.A.
Same official

Other billing entities under SIMS, TONYA

Full network →
ProviderLocationPaid
The Pediatric Clinic of NLR, P.A.Sherwood, AR$4.93M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.