Physician
Grimes, Robert
Grimes, Robert was paid $290K by Medicaid between Jan 2018 and Jun 2020, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoGRIMES, ROBERT
PLATTSBURG, MO 64477
PLATTSBURG, MO 64477
33aNPI1992702179assigned 07/04/2005
33bProvider typePediatrics Physician
28Total paid$290K
24GClaims8,169
24DCodes billed22
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#124 of 992
Median peer was paid$40K
This provider vs. median7.2×
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 | 2,664 | $98K | |
| 2019 | 4,641 | $159K | |
| 2020 | 864 | $33K |
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 | 24% | 1,185 | 1,128 | $69K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 21% | 935 | 881 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,424 | 1,394 | $55K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 694 | 685 | $46K |
| 90698 | 6.0% | 644 | 636 | $17K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 239 | 238 | $16K |
| 99051 | 1.9% | 515 | 504 | $6K | |
| 90670 | 1.2% | 650 | 642 | $4K | |
| 90686 | <1% | 429 | 427 | $2K | |
| 90680 | <1% | 408 | 403 | $2K | |
| 90710 | <1% | 88 | 88 | $2K | |
| 90744 | <1% | 283 | 282 | $2K |
10 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 57 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 52 | $1K |
| 90633 | <1% | 213 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 81 | $1K |
| 90685 | <1% | 136 | $749.41 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $623.21 |
| 83655 | <1% | 41 | $485.44 | |
| 90696 | <1% | 13 | $293.14 | |
| 96161 | <1% | 56 | $136.84 | |
| 85018 | <1% | 12 | $26.39 |
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.