Mouldon, Andrea

Mouldon, Andrea was paid $386K by Medicaid between Jan 2018 and May 2020, across 21 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 19% of everything it billed.

33Billing provider infoMOULDON, ANDREA
SAINT LOUIS, MO 63115

33aNPI1942508783assigned 03/02/2011

33bProvider typePediatric Nurse Practitioner

28Total paid$386K

24GClaims7,323

24DCodes billed21

24AFirst – last monthJan 2018 – May 2020

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Missouri

Rank by total paid#5 of 212

Median peer was paid$13K

This provider vs. median31×

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	2,981	$165K
2019	2,981	$152K
2020	1,361	$68K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	19%	745	725	$74K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	17%	654	651	$67K
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	17%	807	787	$66K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	16%	644	624	$63K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	1,002	967	$52K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	8.8%	327	324	$34K
90698		2.9%	629	620	$11K
96161		1.4%	243	234	$5K
90670		<1%	654	637	$3K
90686		<1%	360	357	$2K
90744		<1%	303	297	$2K
99381		<1%	13	13	$1K

9 more codes

90681		<1%	257	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	46	$983.26
99173		<1%	251	$699.51
90633		<1%	136	$691.41
90651		<1%	96	$475.43
90734		<1%	82	$398.24
90715		<1%	29	$319.15
92551		<1%	13	$147.16
90620		<1%	32	$134.99

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.