Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › FORT SMITH › PEDIATRIC PARTNERS PA

PEDIATRIC PARTNERS PA

NPI: 1932168606 · FORT SMITH, AR 72903 · Pediatrics Physician · NPI assigned 03/21/2006

$1.72M
Total Medicaid Paid
44,558
Total Claims
38,184
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENDRICKSON, JON (PRESIDENT)
NPI Enumeration Date03/21/2006

Related Entities

Other providers sharing the same authorized official: HENDRICKSON, JON

ProviderCityStateTotal Paid
JON A. HENDRICKSON, DDS INC. TRAFALGAR IN $16K
JON HENDRICKSON DDS INC TRAFALGAR IN $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,791 $145K
2019 4,705 $196K
2020 5,245 $221K
2021 5,629 $199K
2022 5,912 $256K
2023 9,312 $360K
2024 9,964 $339K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,338 5,714 $421K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,159 10,522 $403K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,293 3,781 $228K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,990 2,686 $145K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 464 412 $99K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,111 1,783 $96K
99460 689 597 $58K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,329 1,130 $55K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,114 948 $53K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 268 251 $29K
99238 Hospital discharge day management, 30 minutes or less 519 473 $25K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 288 246 $12K
99215 Prolong outpt/office vis 96 90 $11K
90697 641 618 $9K
54150 50 49 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 580 534 $9K
83655 531 445 $7K
90680 541 522 $7K
90677 485 455 $6K
96127 2,637 2,180 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 314 284 $4K
90671 265 262 $3K
90686 257 220 $3K
90656 183 176 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,346 1,091 $2K
87634 27 27 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 562 508 $2K
90633 168 158 $2K
90716 144 139 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 134 120 $2K
81002 309 264 $957.59
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 13 $953.18
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 31 28 $758.19
99383 13 12 $671.11
85018 237 207 $614.75
90651 31 24 $602.53
90707 43 40 $459.90
90619 12 12 $372.78
90381 17 17 $223.38
88738 34 28 $206.11
94760 12 12 $114.40
99489 Ccm add 20min 349 330 $0.00
96161 696 587 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 13 $0.00
96160 69 59 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 150 117 $0.00