Clinic
Main Street Endocrinology, PLLC
Main Street Endocrinology, PLLC was paid $17K by Medicaid between Mar 2021 and Apr 2022, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoMAIN STREET ENDOCRINOLOGY, PLLC
CAVE SPRINGS, AR 72718
CAVE SPRINGS, AR 72718
33aNPI1962012070assigned 08/04/2020
33bProvider typeMedical Specialty Clinic/Center
28Total paid$17K
24GClaims1,105
24DCodes billed7
24AFirst – last monthMar 2021 – Apr 2022
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Arkansas
Rank by total paid#11 of 19
Median peer was paid$22K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 892 | $11K | |
| 2022 | 213 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 76% | 395 | 227 | $13K |
| 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% | 170 | 102 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | 9.6% | 193 | 145 | $2K |
| 95251 | <1% | 94 | 39 | $13.34 | |
| 3044F | <1% | 31 | 16 | $0.01 | |
| 3046F | 0% | 72 | 33 | $0.00 | |
| 83037 | 0% | 150 | 86 | $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 officialSUTTON, MELANIE (NURSE PRACTITIONER/PARTNER)