Clinic
Pediatric and Family Medicine Health Care INC.
Pediatric and Family Medicine Health Care INC. was paid $81K by Medicaid between Jan 2018 and Oct 2018, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPEDIATRIC AND FAMILY MEDICINE HEALTH CARE INC.
MASSILLON, OH 44646
MASSILLON, OH 44646
33aNPI1013034206assigned 03/23/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$81K
24GClaims3,085
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Primary Care Clinic/Center providers in Ohio
Rank by total paid#53 of 118
Median peer was paid$67K
This provider vs. median1.2×
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 | 3,085 | $81K |
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 | 40% | 795 | 689 | $32K |
| 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 | 37% | 495 | 462 | $30K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 529 | 274 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.7% | 412 | 395 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 39 | 39 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 31 | 27 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 16 | 16 | $964.04 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 14 | $790.87 |
| 85018 | <1% | 239 | 232 | $539.42 | |
| 81002 | <1% | 124 | 118 | $280.31 | |
| 36416 | <1% | 243 | 235 | $275.56 | |
| 93000 | <1% | 15 | 14 | $227.38 |
8 more codes
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 officialSLAGA, DELIA (OWNER)