Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Northwest Pediatrics, INC.

Northwest Pediatrics, INC. was paid $144K by Medicaid between Jan 2018 and Aug 2018, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoNORTHWEST PEDIATRICS, INC.
DUBLIN, OH 43016
33aNPI1033228226assigned 08/30/2006
33bProvider typePediatrics Physician
28Total paid$144K
24GClaims6,025
24DCodes billed23
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers

Next to other Pediatrics Physician providers in Ohio

Rank by total paid#126 of 401
Median peer was paid$30K
This provider vs. median4.9×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20186,025$144K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 725 661 $45K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 895 782 $33K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.9% 246 226 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6.8% 712 635 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.1% 143 128 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.1% 105 103 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.4% 101 94 $5K
99051 3.3% 229 212 $5K
92567 2.6% 338 309 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.4% 163 143 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.4% 163 145 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.7% 208 200 $2K
11 more codes
80061 Lipid panel 1.1% 164 $2K
96127 <1% 388 $1K
83655 <1% 106 $1K
81003 <1% 379 $828.88
85018 <1% 302 $668.93
99173 <1% 274 $517.08
85014 <1% 208 $448.56
36416 <1% 115 $247.29
99177 <1% 18 $142.22
88738 <1% 15 $41.81
94760 0% 28 $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 officialBANKS, JOSEPH (PRESIDENT)
Same official

Other billing entities under BANKS, JOSEPH

Full network →
ProviderLocationPaid
Joseph M. BanksWhitesburg, KY$3K
Rutherford County Health ServicesMurfreesboro, TN$703.49

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.