Premier Pediatric Group INC.
Premier Pediatric Group INC. was paid $95K by Medicaid between Jan 2018 and Jul 2018, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoPREMIER PEDIATRIC GROUP INC.
MASON, OH 45040
MASON, OH 45040
33aNPI1093922072assigned 05/17/2007
33bProvider typeSpecialist
28Total paid$95K
24GClaims3,560
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Specialist providers in Ohio
Rank by total paid#90 of 219
Median peer was paid$46K
This provider vs. median2.1×
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 | 3,560 | $95K |
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 | 35% | 861 | 794 | $33K |
| 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 | 30% | 453 | 434 | $28K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 852 | 424 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 157 | 153 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 73 | 71 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 41 | 40 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 167 | 80 | $2K |
| 92551 | 1.3% | 201 | 199 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 59 | 57 | $738.15 |
| 85018 | <1% | 301 | 295 | $706.32 | |
| 96127 | <1% | 89 | 66 | $412.83 | |
| 81003 | <1% | 168 | 164 | $376.53 |
8 more codes
| 80061 | Lipid panel | <1% | 29 | $370.98 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $171.45 |
| 90474 | <1% | 13 | $119.76 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 15 | $0.90 |
| 90670 | 0% | 19 | $0.00 | |
| 90685 | 0% | 15 | $0.00 | |
| 90698 | 0% | 17 | $0.00 | |
| 90680 | 0% | 14 | $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 officialJACKSON, BRADLEY (OWNER)