Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Moberly › NPI 1720275506
Physician

Wilson, John

Wilson, John was paid $138K by Medicaid between Jan 2018 and May 2020, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoWILSON, JOHN
MOBERLY, MO 65270
33aNPI1720275506assigned 09/26/2007
33bProvider typePediatrics Physician
28Total paid$138K
24GClaims3,932
24DCodes billed16
24AFirst – last monthJan 2018 – May 2020
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#261 of 992
Median peer was paid$40K
This provider vs. median3.4×

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

$0$5.0K$10K2018201920202021202220232024
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
20181,746$61K
20191,963$68K
2020223$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40% 1,488 1,310 $55K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 25% 563 529 $35K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 278 270 $17K
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 11% 275 259 $15K
90723 4.6% 249 244 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.4% 55 55 $3K
90670 1.4% 370 364 $2K
92551 1.1% 55 55 $1K
90686 1.0% 274 263 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 13 $832.57
90647 <1% 145 142 $742.95
90681 <1% 98 96 $501.49
4 more codes
99051 <1% 30 $301.31
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 13 $192.26
83655 <1% 13 $143.52
85018 <1% 13 $28.08

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.