Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1740491489assigned 05/24/2007
28Total paid$1.02M
24GClaims33,211
24DCodes billed33
24AFirst – last monthJan 2018 – Aug 2023
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20185,999$182K
20197,403$232K
20206,027$179K
20214,599$131K
20224,682$158K
20234,501$142K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.