Physician
Hinton Healthcare Group
Hinton Healthcare Group was paid $3.29M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoHINTON HEALTHCARE GROUP
LAKE ST LOUIS, MO 63367
LAKE ST LOUIS, MO 63367
33aNPI1760626147assigned 04/29/2009
33bProvider typePediatrics Physician
28Total paid$3.29M
24GClaims71,387
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#6 of 992
Median peer was paid$40K
This provider vs. median81×
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 | |
|---|---|---|---|
| 2018 | 2,914 | $88K | |
| 2019 | 2,519 | $79K | |
| 2020 | 7,959 | $308K | |
| 2021 | 16,787 | $689K | |
| 2022 | 17,409 | $790K | |
| 2023 | 14,921 | $822K | |
| 2024incomplete | 8,878 | $514K |
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 | 36% | 17,074 | 15,256 | $1.19M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 20,416 | 18,391 | $1.10M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 1,941 | 1,926 | $181K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 1,740 | 1,724 | $158K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 1,341 | 1,336 | $133K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 1,300 | 1,225 | $110K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 1,076 | 357 | $36K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 969 | 826 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 351 | 320 | $25K |
| 99383 | <1% | 284 | 282 | $24K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,599 | 1,524 | $23K |
| 99490 | Ccm add 20min | <1% | 1,643 | 1,544 | $22K |
59 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 196 | $22K |
| 90723 | <1% | 725 | $21K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 456 | $21K |
| 99382 | <1% | 206 | $17K | |
| 90670 | <1% | 1,167 | $15K | |
| 90686 | <1% | 1,130 | $15K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 399 | $13K |
| 90648 | <1% | 980 | $13K | |
| 99384 | <1% | 103 | $10K | |
| 99381 | <1% | 96 | $8K | |
| 90680 | <1% | 535 | $7K | |
| 90633 | <1% | 556 | $7K | |
| 99223 | Prolong inpt eval add15 m | <1% | 92 | $6K |
| 99406 | <1% | 663 | $6K | |
| 90715 | <1% | 252 | $6K | |
| 99439 | <1% | 504 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 90 | $6K |
| 99385 | <1% | 71 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,055 | $5K |
| 90734 | <1% | 348 | $5K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 224 | $4K |
| 99072 | <1% | 4,935 | $4K | |
| 90651 | <1% | 529 | $4K | |
| 92551 | <1% | 78 | $4K | |
| 90707 | <1% | 154 | $3K | |
| 90696 | <1% | 95 | $3K | |
| 90620 | <1% | 262 | $2K | |
| 90716 | <1% | 131 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 425 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 29 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 50 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 92 | $1K |
| 90619 | <1% | 149 | $1K | |
| 90710 | <1% | 45 | $1K | |
| 0012A | <1% | 50 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $1K |
| 0011A | <1% | 39 | $920.00 | |
| 99386 | <1% | 13 | $889.52 | |
| 92587 | <1% | 24 | $794.30 | |
| 90700 | <1% | 39 | $751.62 | |
| 90656 | <1% | 83 | $722.38 | |
| 96127 | <1% | 454 | $542.26 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $472.26 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 29 | $449.95 |
| 99188 | <1% | 13 | $331.22 | |
| 81002 | <1% | 119 | $291.52 | |
| 90685 | <1% | 22 | $268.23 | |
| 90688 | <1% | 33 | $202.05 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $187.56 |
| 85018 | <1% | 17 | $36.67 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,093 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 249 | $0.00 |
| 3044F | 0% | 77 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 217 | $0.00 |
| 91307 | 0% | 26 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,228 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 90 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 866 | $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 officialHINTON, PAUL (PRESIDENT)