Physician
Northwest Pediatric Specialists, LLC
Northwest Pediatric Specialists, LLC was paid $4.44M by Medicaid between Mar 2022 and Dec 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoNORTHWEST PEDIATRIC SPECIALISTS, LLC
TOLEDO, OH 43608
TOLEDO, OH 43608
33aNPI1033709100assigned 01/22/2021
33bProvider typePediatrics Physician
28Total paid$4.44M
24GClaims180,187
24DCodes billed89
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#16 of 401
Median peer was paid$30K
This provider vs. median150×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MILLER, RICHARD controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2022 | 64,206 | $1.40M | |
| 2023 | 65,880 | $1.70M | |
| 2024incomplete | 50,101 | $1.34M |
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 | 27% | 36,216 | 29,678 | $1.19M |
| 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 | 25% | 24,117 | 20,077 | $1.10M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 9,488 | 7,787 | $417K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.3% | 26,365 | 10,146 | $369K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 6,426 | 5,430 | $255K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 4,643 | 3,722 | $182K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.5% | 2,070 | 1,719 | $113K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.8% | 1,377 | 1,141 | $80K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 1,781 | 1,367 | $78K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1.3% | 945 | 801 | $59K |
| 95720 | 1.1% | 345 | 145 | $49K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 1.1% | 527 | 115 | $47K |
77 more codes
| 92587 | 1.0% | 2,789 | $47K | |
| 99243 | <1% | 857 | $34K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,124 | $31K |
| 99177 | <1% | 5,092 | $30K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 334 | $28K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 346 | $27K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,359 | $24K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 271 | $22K |
| 95816 | <1% | 745 | $21K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 524 | $16K |
| 94010 | <1% | 1,615 | $14K | |
| 93304 | <1% | 406 | $13K | |
| 93320 | <1% | 719 | $13K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 300 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 775 | $11K |
| 99223 | Prolong inpt eval add15 m | <1% | 139 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 177 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 398 | $9K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 30 | $9K |
| 90670 | <1% | 1,227 | $8K | |
| 95812 | <1% | 94 | $8K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 260 | $7K |
| 93325 | <1% | 1,335 | $7K | |
| 92567 | <1% | 836 | $7K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 50 | $6K |
| 90686 | <1% | 1,945 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 94 | $5K |
| 99188 | <1% | 231 | $5K | |
| 90698 | <1% | 810 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 96 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 80 | $3K |
| 92579 | <1% | 235 | $3K | |
| 93321 | <1% | 366 | $3K | |
| 92652 | <1% | 42 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 81 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 228 | $3K |
| 85018 | <1% | 1,398 | $2K | |
| 92552 | <1% | 164 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 27 | $2K |
| 99245 | <1% | 19 | $2K | |
| 99382 | <1% | 39 | $2K | |
| 29065 | <1% | 36 | $2K | |
| 92551 | <1% | 356 | $2K | |
| 99417 | Prolong home eval add 15m | <1% | 137 | $1K |
| 90633 | <1% | 173 | $1K | |
| 99173 | <1% | 748 | $1K | |
| 90671 | <1% | 125 | $1K | |
| 90680 | <1% | 375 | $970.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 12 | $898.13 |
| 36415 | Collection of venous blood by venipuncture | <1% | 358 | $880.07 |
| 90710 | <1% | 47 | $807.75 | |
| 31575 | <1% | 29 | $802.36 | |
| 69210 | <1% | 50 | $772.24 | |
| 99383 | <1% | 19 | $669.60 | |
| 90734 | <1% | 135 | $645.42 | |
| 90677 | <1% | 155 | $616.03 | |
| 92558 | <1% | 53 | $614.25 | |
| 96160 | <1% | 429 | $528.65 | |
| 90674 | <1% | 344 | $527.74 | |
| 96127 | <1% | 141 | $499.96 | |
| 99221 | <1% | 12 | $468.26 | |
| 93000 | <1% | 47 | $437.48 | |
| 90651 | <1% | 39 | $430.55 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 36 | $384.70 |
| 90744 | <1% | 80 | $260.00 | |
| 90648 | <1% | 16 | $188.75 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $176.80 |
| 83655 | <1% | 15 | $132.52 | |
| 90697 | <1% | 123 | $120.00 | |
| 81001 | <1% | 39 | $57.96 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 312 | $0.01 |
| 96380 | 0% | 13 | $0.00 | |
| 1036F | 0% | 12 | $0.00 | |
| 3074F | 0% | 13 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 20,676 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 4,937 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 125 | $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 officialMILLER, RICHARD (AUTHORIZED OFFICIAL)
Parent organizationNATIONWIDE CHILDREN'S HOSPITAL
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.