Sponenberg, Don

Sponenberg, Don was paid $396K by Medicaid between Jan 2018 and Jul 2020, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoSPONENBERG, DON
SPRINGFIELD, MO 65807

33aNPI1710020706assigned 02/15/2007

33bProvider typePediatrics Physician

28Total paid$396K

24GClaims8,051

24DCodes billed22

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#89 of 992

Median peer was paid$40K

This provider vs. median9.8×

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	3,123	$164K
2019	3,448	$160K
2020	1,480	$72K

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	35%	1,809	1,650	$140K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	2,100	1,928	$107K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	14%	653	603	$55K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	10%	487	482	$41K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.3%	247	244	$21K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.5%	71	69	$6K
90723		1.1%	207	207	$4K
90686		1.1%	600	598	$4K
71046	Radiologic examination, chest; 2 views	1.1%	214	162	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	179	178	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	130	77	$3K
90670		<1%	355	354	$3K

10 more codes

90647		<1%	216	$2K
85018		<1%	265	$761.39
85014		<1%	265	$755.20
90633		<1%	70	$503.60
90651		<1%	72	$495.06
83655		<1%	36	$456.52
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	20	$344.78
90707		<1%	16	$330.86
87807		<1%	12	$243.19
90681		<1%	27	$190.74

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.