NPI: 1922137645 · ROLLA, MO 65401 · Pediatrics Physician · NPI assigned 03/06/2007
Authorized official ROBERTS, WILLIAM controls 20+ related entities in our dataset. Read more
| Authorized Official | ROBERTS, WILLIAM (CFO) |
| NPI Enumeration Date | 03/06/2007 |
Other providers sharing the same authorized official: ROBERTS, WILLIAM
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,018 | $800K |
| 2019 | 12,827 | $1.11M |
| 2020 | 5,972 | $570K |
| 2021 | 33 | $464.24 |
| 2022 | 390 | $8K |
| 2023 | 379 | $8K |
| 2024 | 408 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 26,527 | 22,636 | $2.18M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,281 | 1,233 | $96K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 837 | 837 | $92K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 727 | 723 | $89K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 259 | 259 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 705 | 696 | $11K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 52 | 51 | $5K |
| 87400 | 283 | 154 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 39 | 39 | $4K |
| 87430 | 195 | 195 | $3K | |
| 99460 | 12 | 12 | $1K | |
| 87428 | 30 | 30 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 12 | 12 | $908.14 |
| 87420 | 54 | 53 | $743.64 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14 | 14 | $451.87 |