Physician
Prater, Carolyn
Prater, Carolyn was paid $226K by Medicaid between Jan 2018 and May 2019, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoPRATER, CAROLYN
JOPLIN, MO 64801
JOPLIN, MO 64801
33aNPI1821203340assigned 05/10/2007
33bProvider typePediatrics Physician
28Total paid$226K
24GClaims1,565
24DCodes billed10
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#164 of 992
Median peer was paid$40K
This provider vs. median5.6×
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 | 929 | $136K | |
| 2019 | 636 | $90K |
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 | 47% | 742 | 670 | $106K |
| 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% | 293 | 275 | $61K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 120 | 119 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 80 | 80 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 69 | 66 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 20 | 20 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | 42 | $2K |
| 85018 | <1% | 174 | 170 | $1K | |
| 87807 | <1% | 12 | 12 | $280.80 | |
| 81002 | <1% | 13 | 12 | $175.50 |
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.