Physician
Mill Valley Pediatrics, INC.
Mill Valley Pediatrics, INC. was paid $144K by Medicaid between Jan 2018 and Apr 2019, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoMILL VALLEY PEDIATRICS, INC.
MARYSVILLE, OH 43040
MARYSVILLE, OH 43040
33aNPI1174718985assigned 09/14/2007
33bProvider typePediatrics Physician
28Total paid$144K
24GClaims4,211
24DCodes billed12
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#127 of 401
Median peer was paid$30K
This provider vs. median4.9×
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 | 3,185 | $106K | |
| 2019 | 1,026 | $38K |
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 | 47% | 1,196 | 1,064 | $68K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 1,056 | 895 | $36K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 22% | 1,232 | 1,053 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 70 | 64 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 60 | 57 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 19 | 17 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 75 | 56 | $595.63 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 65 | 65 | $197.99 |
| 90685 | <1% | 43 | 39 | $40.00 | |
| 90686 | <1% | 137 | 136 | $10.00 | |
| 90461 | 0% | 232 | 211 | $0.00 | |
| 90670 | 0% | 26 | 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 officialUNDERWOOD, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Calais | Calais, ME | $7.03M |
| Illinois Correctional Industries | Dixon, IL | $3.66M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.