Pediatric Academic Association, INC.

Pediatric Academic Association, INC. was paid $37.13M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99472, Subsequent inpatient pediatric critical care, per day, 2-5 years — 22% of everything it billed.

33Billing provider infoPEDIATRIC ACADEMIC ASSOCIATION, INC.
COLUMBUS, OH 43205

33aNPI1063419943assigned 07/07/2005

33bProvider typeMedical Physician Assistant

28Total paid$37.13M

24GClaims784,764

24DCodes billed77

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Medical Physician Assistant providers in Ohio

Rank by total paid#1 of 15

Median peer was paid$7K

This provider vs. median5,576×

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	113,377	$5.44M
2019	119,337	$6.27M
2020	81,082	$4.72M
2021	108,471	$4.97M
2022	121,311	$5.32M
2023	130,487	$5.16M
2024incomplete	110,699	$5.25M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	22%	29,830	7,897	$8.26M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	15%	166,800	162,005	$5.43M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	13%	83,789	80,854	$4.64M
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	6.9%	9,325	3,586	$2.58M
99480	Subsequent intensive care, per day, low birth weight infant	4.8%	21,413	6,265	$1.77M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	4.7%	20,759	20,055	$1.76M
99460		4.1%	22,369	21,156	$1.53M
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	3.3%	26,661	24,672	$1.24M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.2%	43,598	18,948	$1.17M
99238	Hospital discharge day management, 30 minutes or less	3.1%	39,248	37,120	$1.15M
99479	Subsequent intensive care, per day, very low birth weight infant	2.7%	11,415	3,816	$1.02M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.4%	23,370	9,094	$879K

65 more codes

93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	2.2%	17,771	$830K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.2%	108,420	$825K
95720		1.5%	4,196	$557K
93320		1.1%	27,819	$399K
95951		<1%	2,057	$293K
99462		<1%	7,847	$236K
99222	Initial hospital care, per day, moderate complexity	<1%	3,747	$193K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	9,448	$181K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	2,693	$166K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	2,374	$158K
54150		<1%	3,216	$147K
99239	Hospital discharge day management, more than 30 minutes	<1%	3,418	$138K
93325		<1%	39,452	$136K
99292		<1%	3,550	$134K
93227		<1%	4,705	$108K
99223	Prolong inpt eval add15 m	<1%	1,330	$98K
99225		<1%	4,936	$92K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	920	$88K
76825		<1%	1,011	$86K
94010		<1%	10,100	$83K
95782		<1%	1,379	$80K
99217		<1%	2,663	$80K
99254		<1%	1,206	$76K
95819		<1%	2,425	$68K
99226		<1%	2,344	$66K
99219		<1%	1,251	$66K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	2,497	$40K
99255		<1%	348	$29K
36512		<1%	452	$29K
93244		<1%	1,594	$26K
76827		<1%	1,012	$23K
93304		<1%	749	$18K
93321		<1%	2,976	$17K
99214	Doctor's office visit, returning patient (more involved)	<1%	451	$16K
99235		<1%	201	$15K
99464		<1%	221	$15K
99220		<1%	169	$11K
94060		<1%	713	$11K
95816		<1%	413	$11K
99253		<1%	185	$9K
99215	Doctor's office visit, returning patient (complex)	<1%	145	$8K
99307		<1%	539	$7K
99418	Prolong nursin fac eval 15m	<1%	91	$4K
93248		<1%	214	$4K
91200		<1%	254	$3K
99221		<1%	84	$3K
99308	Subsequent nursing facility care, per day, straightforward	<1%	90	$3K
99252		<1%	69	$3K
99224		<1%	236	$2K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	13	$2K
93308		<1%	100	$2K
99236	Prolong inpt eval add15 m	<1%	14	$1K
96040		<1%	1,302	$1K
99213	Doctor's office visit, returning patient (routine)	<1%	42	$872.06
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	90	$670.69
95251		<1%	28	$564.97
76937		<1%	61	$505.52
91038		<1%	18	$464.29
99218		<1%	12	$432.50
0298T		<1%	304	$352.19
95812		<1%	13	$308.91
93272		<1%	12	$297.84
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	23	$238.21
99356		<1%	158	$94.92
90911		0%	16	$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 officialKRAWCZESKI, CATHERINE (AUTHORIZED OFFICIAL)