Physician
Main Street Medical Clinic, P.A.
Main Street Medical Clinic, P.A. was paid $801K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoMAIN STREET MEDICAL CLINIC, P.A.
BENTON, AR 72015
BENTON, AR 72015
33aNPI1841298791assigned 07/13/2005
33bProvider typePediatrics Physician
28Total paid$801K
24GClaims18,515
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Arkansas
Rank by total paid#32 of 108
Median peer was paid$225K
This provider vs. median3.6×
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 | 2,938 | $111K | |
| 2019 | 2,654 | $108K | |
| 2020 | 1,907 | $80K | |
| 2021 | 3,120 | $133K | |
| 2022 | 3,150 | $152K | |
| 2023 | 2,689 | $115K | |
| 2024incomplete | 2,057 | $102K |
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 | 49% | 6,327 | 5,706 | $389K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 8,519 | 7,549 | $274K |
| 87428 | 3.9% | 457 | 439 | $31K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 452 | 413 | $22K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 513 | 486 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 402 | 342 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 350 | 332 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 112 | 108 | $6K |
| 90686 | <1% | 470 | 442 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 162 | 147 | $3K |
| 90648 | <1% | 246 | 222 | $3K | |
| 90670 | <1% | 230 | 210 | $2K |
8 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $773.25 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 65 | $764.55 |
| 90688 | <1% | 51 | $762.02 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 15 | $579.32 |
| 90723 | <1% | 59 | $572.34 | |
| 90651 | <1% | 14 | $170.82 | |
| 90633 | <1% | 14 | $133.84 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 27 | $69.00 |
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 officialWILCHMAN, SHERYL (OFFICE MANAGER)