Physician
Abc Pediatrics of Ohio, LLC
Abc Pediatrics of Ohio, LLC was paid $2.14M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoABC PEDIATRICS OF OHIO, LLC
WASHINGTON COURT HOUSE, OH 43160
WASHINGTON COURT HOUSE, OH 43160
33aNPI1093845893assigned 03/07/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.14M
24GClaims72,962
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Ohio
Rank by total paid#2 of 23
Median peer was paid$84K
This provider vs. median26×
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 | 10,091 | $296K | |
| 2019 | 10,941 | $293K | |
| 2020 | 11,793 | $300K | |
| 2021 | 12,187 | $336K | |
| 2022 | 9,326 | $292K | |
| 2023 | 10,045 | $315K | |
| 2024incomplete | 8,579 | $306K |
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 | 36% | 18,870 | 16,649 | $777K |
| 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 | 15% | 5,210 | 4,669 | $315K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 8,776 | 8,455 | $305K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 4,151 | 4,015 | $235K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 4,264 | 4,067 | $217K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 1,752 | 1,710 | $99K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 3,911 | 3,814 | $30K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.3% | 206 | 184 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 2,051 | 1,944 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 282 | 275 | $18K |
| 99381 | <1% | 239 | 224 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 573 | 541 | $15K |
36 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 673 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,554 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 641 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 115 | $5K |
| 99188 | <1% | 205 | $4K | |
| 85013 | <1% | 878 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 380 | $3K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 48 | $3K |
| 90670 | <1% | 2,349 | $2K | |
| 85018 | <1% | 997 | $2K | |
| 90686 | <1% | 1,186 | $1K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 48 | $1K |
| 90698 | <1% | 2,315 | $1K | |
| 99349 | <1% | 16 | $1K | |
| 90633 | <1% | 1,635 | $1K | |
| 99177 | <1% | 86 | $885.10 | |
| 87486 | <1% | 48 | $813.18 | |
| 87581 | <1% | 48 | $813.18 | |
| 90671 | <1% | 191 | $803.79 | |
| 99174 | <1% | 69 | $391.24 | |
| 90716 | <1% | 918 | $318.39 | |
| 90744 | <1% | 1,058 | $292.00 | |
| 90700 | <1% | 1,297 | $233.50 | |
| 85014 | <1% | 110 | $232.37 | |
| 90707 | <1% | 946 | $189.32 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $156.42 |
| 90734 | <1% | 68 | $115.88 | |
| 90680 | <1% | 1,456 | $115.50 | |
| 90685 | <1% | 230 | $72.96 | |
| 81002 | <1% | 25 | $63.65 | |
| 94760 | <1% | 586 | $4.20 | |
| 90677 | 0% | 67 | $0.00 | |
| 90651 | 0% | 25 | $0.00 | |
| 90648 | 0% | 281 | $0.00 | |
| 90713 | 0% | 91 | $0.00 | |
| 90715 | 0% | 25 | $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 officialFITTON, LENORA (OWNER)