Physician
Kennett Pediatric
Kennett Pediatric was paid $21K by Medicaid between Feb 2018 and May 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoKENNETT PEDIATRIC
KENNETT, MO 63857
KENNETT, MO 63857
33aNPI1780859512assigned 04/23/2008
33bProvider typePediatrics Physician
28Total paid$21K
24GClaims862
24DCodes billed15
24AFirst – last monthFeb 2018 – May 2024
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#618 of 992
Median peer was paid$40K
This provider vs. median0.5×
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 | 14 | $1K | |
| 2024incomplete | 848 | $20K |
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 | 19% | 54 | 54 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 16% | 138 | 134 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 14% | 136 | 133 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 104 | 103 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 8.8% | 147 | 142 | $2K |
| 99223 | Prolong inpt eval add15 m | 5.8% | 14 | 13 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 40 | 40 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 35 | 35 | $847.00 |
| 90710 | 2.9% | 19 | 19 | $612.94 | |
| 87807 | 2.7% | 57 | 56 | $565.92 | |
| 90670 | 2.3% | 61 | 61 | $484.20 | |
| 90698 | 2.2% | 12 | 12 | $468.84 |
3 more codes
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 officialLEDBETTER, AMY (DIRECTOR OF OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Pilot Grove Rural Health Clinic | Pilot Grove, MO | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.