Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wheeler, Adam

Wheeler, Adam was paid $76K by Medicaid between Jan 2018 and May 2019, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoWHEELER, ADAM
COLUMBIA, MO 65203
33aNPI1891803086assigned 08/28/2006
33bProvider typePediatrics Physician
28Total paid$76K
24GClaims1,818
24DCodes billed11
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#356 of 992
Median peer was paid$40K
This provider vs. median1.9×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,543$64K
2019275$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 660 608 $27K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 164 163 $12K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15% 169 159 $11K
92551 14% 325 314 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10% 124 117 $8K
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 3.8% 46 42 $3K
90698 3.7% 99 94 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.2% 14 12 $887.44
90686 <1% 121 116 $668.09
90670 <1% 69 69 $409.76
90680 <1% 27 27 $154.96

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.