Physician
Westerville Pediatric Specialists, INC.
Westerville Pediatric Specialists, INC. was paid $1.00M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoWESTERVILLE PEDIATRIC SPECIALISTS, INC.
WESTERVILLE, OH 43082
WESTERVILLE, OH 43082
33aNPI1104989334assigned 12/19/2006
33bProvider typePediatrics Physician
28Total paid$1.00M
24GClaims28,863
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#61 of 401
Median peer was paid$30K
This provider vs. median34×
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 | 5,588 | $184K | |
| 2019 | 4,413 | $151K | |
| 2020 | 3,867 | $125K | |
| 2021 | 3,488 | $126K | |
| 2022 | 4,127 | $146K | |
| 2023 | 4,134 | $151K | |
| 2024incomplete | 3,246 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 4,525 | 4,195 | $282K |
| 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% | 6,620 | 6,149 | $267K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 6,774 | 6,369 | $194K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 1,588 | 1,490 | $92K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 1,638 | 1,436 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 802 | 769 | $46K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 188 | 185 | $12K |
| 90686 | 1.0% | 1,105 | 1,029 | $10K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 174 | 170 | $6K |
| 90698 | <1% | 580 | 548 | $3K | |
| 90670 | <1% | 479 | 457 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 204 | 101 | $2K |
21 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 135 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 260 | $1K |
| 90707 | <1% | 95 | $892.50 | |
| 90633 | <1% | 38 | $361.25 | |
| 90672 | <1% | 13 | $255.00 | |
| 96127 | <1% | 59 | $224.76 | |
| 99173 | <1% | 125 | $178.92 | |
| 90656 | <1% | 52 | $170.00 | |
| 90671 | <1% | 71 | $148.75 | |
| 99177 | <1% | 12 | $131.28 | |
| 90716 | <1% | 49 | $63.75 | |
| 90680 | <1% | 117 | $52.50 | |
| 36416 | <1% | 12 | $45.72 | |
| 90660 | <1% | 15 | $42.50 | |
| 90461 | <1% | 2,212 | $31.50 | |
| 99072 | 0% | 536 | $0.00 | |
| 90685 | 0% | 32 | $0.00 | |
| 99000 | 0% | 317 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90474 | 0% | 12 | $0.00 | |
| 90619 | 0% | 12 | $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 officialWODARCYK, KATHLEEN (PRESIDENT)