PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C.
NPI: 1740491489
· SIOUX CITY, IA 51106
· 2080P0202X
$1.02M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,249 |
5,603 |
$278K |
| 99213 |
|
7,218 |
6,634 |
$244K |
| 90460 |
|
3,563 |
3,400 |
$149K |
| 87502 |
|
693 |
666 |
$64K |
| 99392 |
|
937 |
895 |
$59K |
| 99393 |
|
814 |
797 |
$52K |
| 87880 |
|
3,059 |
2,907 |
$39K |
| 99394 |
|
446 |
432 |
$32K |
| 96127 |
|
630 |
599 |
$31K |
| 99212 |
|
768 |
728 |
$19K |
| 90461 |
|
1,539 |
1,463 |
$15K |
| 87811 |
|
390 |
384 |
$15K |
| 99391 |
|
252 |
241 |
$15K |
| 90471 |
|
528 |
511 |
$6K |
| 81002 |
|
544 |
508 |
$1K |
| 85018 |
|
501 |
471 |
$1K |
| 83655 |
|
89 |
82 |
$1K |
| 87807 |
|
54 |
52 |
$724.71 |
| 87804 |
|
24 |
12 |
$347.76 |
| 94760 |
|
174 |
167 |
$207.48 |
| 87400 |
|
15 |
13 |
$87.00 |
| 90686 |
|
2,102 |
2,028 |
$74.88 |
| 36416 |
|
578 |
543 |
$32.28 |
| 90670 |
|
362 |
338 |
$0.00 |
| 2014F |
|
595 |
569 |
$0.00 |
| 90734 |
|
93 |
90 |
$0.00 |
| 90715 |
|
37 |
36 |
$0.00 |
| 90633 |
|
43 |
40 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
560 |
538 |
$0.00 |
| 90651 |
|
108 |
101 |
$0.00 |
| 90647 |
|
101 |
89 |
$0.00 |
| 90723 |
|
103 |
93 |
$0.00 |
| 90680 |
|
42 |
39 |
$0.00 |