Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BOONSLICK PEDIATRICS

NPI: 1962675744 · SAINT PETERS, MO 63376 · Preferred Provider Organization · NPI assigned 04/11/2008

$319K
Total Medicaid Paid
6,272
Total Claims
5,871
Beneficiaries
22
Codes Billed
2020-06
First Month
2023-01
Last Month

Provider Details

Authorized OfficialLOBONC, ROBERT (MD)
NPI Enumeration Date04/11/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,143 $56K
2021 2,350 $113K
2022 2,722 $145K
2023 57 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,924 1,728 $168K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 728 677 $42K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 634 591 $26K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 188 183 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 117 116 $10K
92567 635 593 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 100 100 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 555 528 $8K
92587 236 233 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 205 196 $6K
90686 290 288 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 63 60 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 152 146 $4K
87807 100 96 $1K
90700 37 37 $775.23
90734 26 25 $491.02
81002 145 140 $460.55
90670 31 30 $384.36
90698 14 14 $358.61
90680 27 26 $323.62
90651 48 47 $317.50
90713 17 17 $290.86