Clinic
Peterson Wellness Primary Care and Pediatrics, PLLC
Peterson Wellness Primary Care and Pediatrics, PLLC was paid $189K by Medicaid between Oct 2022 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPETERSON WELLNESS PRIMARY CARE AND PEDIATRICS, PLLC
BROKEN ARROW, OK 74012
BROKEN ARROW, OK 74012
33aNPI1851062517assigned 09/22/2021
33bProvider typePrimary Care Clinic/Center
28Total paid$189K
24GClaims2,497
24DCodes billed11
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Oklahoma
Rank by total paid#41 of 86
Median peer was paid$175K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2022 | 80 | $8K | |
| 2023 | 1,285 | $99K | |
| 2024incomplete | 1,132 | $81K |
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 | 40% | 956 | 910 | $75K |
| 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 | 35% | 613 | 577 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 228 | 226 | $20K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.1% | 117 | 117 | $17K |
| 36415 | Collection of venous blood by venipuncture | 2.0% | 486 | 480 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 28 | 28 | $3K |
| 99383 | <1% | 17 | 17 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | 12 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | 12 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | 12 | $220.08 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | 12 | $182.24 |
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 officialPETERSON, ASHTON (NURSE PRACTITIONER, OWNER)