Clinic
Ivancic Pediatric Clinic PA
Ivancic Pediatric Clinic PA was paid $3.34M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoIVANCIC PEDIATRIC CLINIC PA
TUPELO, MS 38801
TUPELO, MS 38801
33aNPI1942606256assigned 11/13/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$3.34M
24GClaims96,068
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Mississippi
Rank by total paid#5 of 85
Median peer was paid$100K
This provider vs. median33×
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 | 16,757 | $518K | |
| 2019 | 18,634 | $580K | |
| 2020 | 16,715 | $521K | |
| 2021 | 17,218 | $632K | |
| 2022 | 14,538 | $525K | |
| 2023 | 7,582 | $336K | |
| 2024incomplete | 4,624 | $225K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 24,892 | 21,072 | $1.36M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 6,670 | 6,307 | $550K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 4,664 | 4,482 | $378K |
| 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 | 11% | 4,551 | 4,011 | $371K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.3% | 11,859 | 11,273 | $312K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 705 | 653 | $55K |
| 87430 | 1.6% | 4,771 | 4,261 | $55K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 7,697 | 5,878 | $52K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,257 | 1,095 | $45K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,701 | 1,141 | $27K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,753 | 3,241 | $24K |
| 87428 | <1% | 487 | 459 | $23K |
30 more codes
| 92551 | <1% | 2,633 | $21K | |
| 99381 | <1% | 196 | $17K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 332 | $11K |
| 83655 | <1% | 566 | $6K | |
| 87420 | <1% | 589 | $6K | |
| 90670 | <1% | 4,904 | $5K | |
| 99173 | <1% | 1,726 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 32 | $3K |
| 99383 | <1% | 18 | $2K | |
| 87400 | <1% | 144 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 103 | $1K |
| 99382 | <1% | 12 | $1K | |
| 90647 | <1% | 2,870 | $529.16 | |
| 85014 | <1% | 406 | $518.70 | |
| 85018 | <1% | 360 | $461.64 | |
| 90681 | <1% | 1,285 | $267.42 | |
| 90723 | <1% | 2,592 | $256.50 | |
| 90686 | <1% | 1,659 | $183.59 | |
| 80061 | Lipid panel | <1% | 13 | $149.44 |
| 90707 | <1% | 41 | $76.00 | |
| 90716 | <1% | 69 | $65.60 | |
| 81000 | <1% | 13 | $41.42 | |
| 94760 | <1% | 15 | $1.80 | |
| 90696 | 0% | 165 | $0.00 | |
| 36416 | 0% | 422 | $0.00 | |
| 90698 | 0% | 31 | $0.00 | |
| 90677 | 0% | 121 | $0.00 | |
| 90633 | 0% | 513 | $0.00 | |
| 90710 | 0% | 194 | $0.00 | |
| 90700 | 0% | 37 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialPARSONS, MITZI (OFFICE MANAGER)