Evans, Douglas

Evans, Douglas was paid $338K by Medicaid between Jan 2018 and May 2020, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

33Billing provider infoEVANS, DOUGLAS
SAINT JOSEPH, MO 64506

33aNPI1871591768assigned 07/13/2005

33bProvider typePediatrics Physician

28Total paid$338K

24GClaims10,337

24DCodes billed26

24AFirst – last monthJan 2018 – May 2020

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#104 of 992

Median peer was paid$40K

This provider vs. median8.4×

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	5,123	$156K
2019	3,854	$135K
2020	1,360	$47K

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	25%	1,566	1,460	$86K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	1,960	1,785	$71K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	16%	880	808	$54K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	10%	556	552	$35K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.5%	818	782	$22K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.4%	240	240	$15K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	3.6%	959	910	$12K
90723		3.4%	452	443	$12K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.6%	352	339	$9K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.1%	60	59	$4K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	27	26	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	188	187	$3K

14 more codes

90670	<1%	611	$3K
90710	<1%	108	$2K
90686	<1%	271	$1K
90647	<1%	270	$1K
83655	<1%	94	$1K
90681	<1%	192	$977.48
81003	<1%	441	$915.76
90648	<1%	160	$854.32
90696	<1%	25	$527.56
99173	<1%	35	$252.70
99188	<1%	13	$185.77
90734	<1%	32	$157.95
90633	<1%	15	$79.61
85018	<1%	12	$28.08

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.