Physician
Ops Pediatrics PLC
Ops Pediatrics PLC was paid $1.30M by Medicaid between Jan 2018 and Feb 2021, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoOPS PEDIATRICS PLC
SAGINAW, MI 48604
SAGINAW, MI 48604
33aNPI1124123203assigned 09/14/2006
33bProvider typePediatrics Physician
28Total paid$1.30M
24GClaims46,959
24DCodes billed42
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#103 of 349
Median peer was paid$321K
This provider vs. median4.0×
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 | 16,157 | $445K | |
| 2019 | 14,358 | $419K | |
| 2020 | 14,105 | $370K | |
| 2021 | 2,339 | $64K |
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 | 24% | 3,886 | 3,610 | $306K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 4,390 | 4,025 | $236K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 2,741 | 2,738 | $197K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,177 | 2,170 | $141K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 1,834 | 1,834 | $131K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 993 | 993 | $78K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.2% | 3,090 | 3,085 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 5,170 | 5,150 | $39K |
| 99381 | 2.5% | 373 | 373 | $32K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 1,763 | 1,561 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,087 | 1,066 | $14K |
| D0190 | 1.1% | 964 | 964 | $14K |
30 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 551 | $11K |
| 96127 | <1% | 3,110 | $9K | |
| 83655 | <1% | 710 | $8K | |
| 99188 | <1% | 1,018 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 217 | $7K |
| 90474 | <1% | 1,299 | $5K | |
| 96161 | <1% | 1,089 | $2K | |
| 85018 | <1% | 223 | $493.23 | |
| 81003 | <1% | 270 | $469.28 | |
| 87807 | <1% | 16 | $196.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 18 | $188.20 |
| 96160 | <1% | 48 | $75.30 | |
| 98966 | <1% | 316 | $0.02 | |
| 90734 | 0% | 194 | $0.00 | |
| 90700 | 0% | 320 | $0.00 | |
| 90633 | 0% | 935 | $0.00 | |
| 90707 | 0% | 322 | $0.00 | |
| 90670 | 0% | 1,847 | $0.00 | |
| 90710 | 0% | 160 | $0.00 | |
| 90648 | 0% | 235 | $0.00 | |
| 90685 | 0% | 335 | $0.00 | |
| 90715 | 0% | 60 | $0.00 | |
| G9002 | Coordinated care fee, maintenance rate | 0% | 13 | $0.00 |
| 90680 | 0% | 1,309 | $0.00 | |
| 90716 | 0% | 311 | $0.00 | |
| 90698 | 0% | 1,387 | $0.00 | |
| 90744 | 0% | 970 | $0.00 | |
| 90651 | 0% | 188 | $0.00 | |
| 90686 | 0% | 847 | $0.00 | |
| 90696 | 0% | 173 | $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 officialSHANKER, GAYATRI (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Caring Pediatric Partners PC | Saginaw, MI | $2.06M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.