Physician
Prairie Pediatrics & Adolescent Clinic, P.C.
Prairie Pediatrics & Adolescent Clinic, P.C. was paid $1.02M by Medicaid between Jan 2018 and Aug 2023, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoPRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C.
SIOUX CITY, IA 51106
SIOUX CITY, IA 51106
33aNPI1740491489assigned 05/24/2007
33bProvider typePediatric Cardiology Physician
28Total paid$1.02M
24GClaims33,211
24DCodes billed33
24AFirst – last monthJan 2018 – Aug 2023
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 | 5,999 | $182K | |
| 2019 | 7,403 | $232K | |
| 2020 | 6,027 | $179K | |
| 2021 | 4,599 | $131K | |
| 2022 | 4,682 | $158K | |
| 2023 | 4,501 | $142K |
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 | 27% | 6,249 | 5,603 | $278K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 7,218 | 6,634 | $244K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 3,563 | 3,400 | $149K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 6.2% | 693 | 666 | $64K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 937 | 895 | $59K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 814 | 797 | $52K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.8% | 3,059 | 2,907 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 446 | 432 | $32K |
| 96127 | 3.0% | 630 | 599 | $31K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 768 | 728 | $19K |
| 90461 | 1.5% | 1,539 | 1,463 | $15K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.5% | 390 | 384 | $15K |
21 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 252 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 528 | $6K |
| 81002 | <1% | 544 | $1K | |
| 85018 | <1% | 501 | $1K | |
| 83655 | <1% | 89 | $1K | |
| 87807 | <1% | 54 | $724.71 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $347.76 |
| 94760 | <1% | 174 | $207.48 | |
| 87400 | <1% | 15 | $87.00 | |
| 90686 | <1% | 2,102 | $74.88 | |
| 36416 | <1% | 578 | $32.28 | |
| 90670 | 0% | 362 | $0.00 | |
| 2014F | 0% | 595 | $0.00 | |
| 90734 | 0% | 93 | $0.00 | |
| 90715 | 0% | 37 | $0.00 | |
| 90633 | 0% | 43 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 560 | $0.00 |
| 90651 | 0% | 108 | $0.00 | |
| 90647 | 0% | 101 | $0.00 | |
| 90723 | 0% | 103 | $0.00 | |
| 90680 | 0% | 42 | $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 officialBECK, PATRICK (OWNER)
Parent organizationPRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C.