Physician
Childrens Medical Center INC
Childrens Medical Center INC was paid $3.02M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoCHILDRENS MEDICAL CENTER INC
MIDDLETOWN, OH 45042
MIDDLETOWN, OH 45042
33aNPI1093919177assigned 06/13/2007
33bProvider typePediatrics Physician
28Total paid$3.02M
24GClaims95,177
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#25 of 401
Median peer was paid$30K
This provider vs. median102×
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 | 14,869 | $465K | |
| 2019 | 17,155 | $544K | |
| 2020 | 10,826 | $367K | |
| 2021 | 9,666 | $340K | |
| 2022 | 13,540 | $443K | |
| 2023 | 15,793 | $468K | |
| 2024incomplete | 13,328 | $390K |
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 | 41% | 30,753 | 28,349 | $1.24M |
| 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 | 16% | 8,075 | 7,609 | $489K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 11,438 | 10,890 | $391K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.6% | 4,387 | 4,126 | $228K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 3,946 | 3,840 | $224K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 1,773 | 1,743 | $99K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.6% | 2,482 | 2,329 | $78K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 5,737 | 5,463 | $65K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 897 | 878 | $56K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 3,086 | 2,908 | $44K |
| 87428 | <1% | 761 | 663 | $21K | |
| 99174 | <1% | 1,847 | 1,767 | $17K |
38 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,000 | $17K |
| 96127 | <1% | 1,329 | $8K | |
| 36416 | <1% | 2,949 | $7K | |
| 83655 | <1% | 637 | $7K | |
| 87807 | <1% | 545 | $5K | |
| 99460 | <1% | 30 | $2K | |
| 96160 | <1% | 1,385 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 71 | $2K |
| 85018 | <1% | 991 | $2K | |
| 90633 | <1% | 385 | $1K | |
| 3008F | <1% | 1,141 | $1K | |
| 90670 | <1% | 2,673 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 151 | $1K |
| 99188 | <1% | 41 | $645.75 | |
| 87420 | <1% | 66 | $637.99 | |
| 85014 | <1% | 269 | $610.95 | |
| 90686 | <1% | 1,669 | $429.62 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 39 | $422.91 |
| 90651 | <1% | 154 | $326.50 | |
| 90698 | <1% | 1,183 | $310.10 | |
| 90685 | <1% | 565 | $179.69 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $176.80 |
| 99441 | <1% | 14 | $152.88 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 15 | $124.40 |
| 90680 | <1% | 1,246 | $84.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 38 | $83.62 |
| 90744 | <1% | 271 | $52.50 | |
| 96161 | <1% | 14 | $43.20 | |
| 99173 | <1% | 12 | $27.24 | |
| 90697 | 0% | 439 | $0.00 | |
| 90677 | 0% | 411 | $0.00 | |
| 94760 | 0% | 80 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| 90734 | 0% | 90 | $0.00 | |
| 99051 | 0% | 24 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 12 | $0.00 |
| 90621 | 0% | 18 | $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 officialROBINSON DUCKSON, TERILYN (PRACTICE MANAGER)