Physician
Children's Clinic, PLLC
Children's Clinic, PLLC was paid $3.56M by Medicaid between Oct 2019 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoCHILDREN'S CLINIC, PLLC
MUSKOGEE, OK 74403
MUSKOGEE, OK 74403
33aNPI1720633571assigned 08/08/2019
33bProvider typePediatrics Physician
28Total paid$3.56M
24GClaims78,929
24DCodes billed55
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#6 of 94
Median peer was paid$204K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2019 | 4,306 | $220K | |
| 2020 | 15,310 | $630K | |
| 2021 | 17,327 | $708K | |
| 2022 | 15,775 | $750K | |
| 2023 | 19,232 | $896K | |
| 2024incomplete | 6,979 | $352K |
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 | 58% | 27,014 | 25,034 | $2.05M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 2,437 | 2,431 | $229K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 2,234 | 2,233 | $211K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.4% | 6,930 | 6,906 | $192K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 1,761 | 1,728 | $182K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 1,570 | 1,570 | $139K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.7% | 2,407 | 2,372 | $133K |
| 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 | 2.5% | 834 | 819 | $89K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 2,125 | 2,124 | $72K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 3,757 | 3,712 | $55K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 678 | 674 | $29K |
| 99381 | <1% | 290 | 290 | $29K |
43 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,754 | $26K |
| 99408 | <1% | 789 | $25K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,570 | $13K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,632 | $11K |
| 99406 | <1% | 801 | $11K | |
| 87899 | <1% | 743 | $11K | |
| 96127 | <1% | 2,376 | $10K | |
| 83655 | <1% | 733 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 386 | $8K |
| 96161 | <1% | 1,118 | $6K | |
| 87807 | <1% | 266 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $3K |
| 0071A | <1% | 49 | $2K | |
| 92551 | <1% | 160 | $2K | |
| 0001A | <1% | 35 | $1K | |
| 0072A | <1% | 23 | $920.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 33 | $623.56 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 19 | $524.59 |
| 74019 | <1% | 15 | $479.70 | |
| 99442 | <1% | 15 | $371.25 | |
| 99173 | <1% | 150 | $368.11 | |
| 36416 | <1% | 15 | $40.05 | |
| 90686 | <1% | 1,420 | $0.02 | |
| 90620 | <1% | 178 | $0.01 | |
| 90723 | 0% | 1,278 | $0.00 | |
| 90647 | 0% | 1,293 | $0.00 | |
| 90696 | 0% | 138 | $0.00 | |
| 90677 | 0% | 149 | $0.00 | |
| 90651 | 0% | 606 | $0.00 | |
| 91307 | 0% | 75 | $0.00 | |
| 90716 | 0% | 136 | $0.00 | |
| 96160 | 0% | 4,633 | $0.00 | |
| 90670 | 0% | 1,464 | $0.00 | |
| 90681 | 0% | 625 | $0.00 | |
| 90633 | 0% | 756 | $0.00 | |
| 90707 | 0% | 133 | $0.00 | |
| 90710 | 0% | 191 | $0.00 | |
| 90671 | 0% | 37 | $0.00 | |
| 90734 | 0% | 572 | $0.00 | |
| 90715 | 0% | 259 | $0.00 | |
| 91300 | 0% | 89 | $0.00 | |
| 90700 | 0% | 100 | $0.00 | |
| 90672 | 0% | 51 | $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 officialHARDAWAY, RYAN (GENERAL MANAGER)