Adams, William

Adams, William was paid $80K by Medicaid between Jan 2018 and Apr 2020, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.

33Billing provider infoADAMS, WILLIAM
O FALLON, MO 63368

33aNPI1841281193assigned 11/03/2005

33bProvider typePediatrics Physician

28Total paid$80K

24GClaims1,272

24DCodes billed6

24AFirst – last monthJan 2018 – Apr 2020

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#346 of 992

Median peer was paid$40K

This provider vs. median2.0×

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	613	$38K
2019	545	$32K
2020	114	$10K

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	63%	773	697	$50K
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	23%	184	173	$19K
90686		6.5%	218	213	$5K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.1%	25	25	$3K
92587		2.3%	57	55	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.7%	15	14	$1K

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.