Physician
Pediatric Center of Canton, LLC
Pediatric Center of Canton, LLC was paid $4.24M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoPEDIATRIC CENTER OF CANTON, LLC
CANTON, OH 44718
CANTON, OH 44718
33aNPI1194037150assigned 07/07/2010
33bProvider typePediatrics Physician
28Total paid$4.24M
24GClaims173,544
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#17 of 401
Median peer was paid$30K
This provider vs. median144×
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 | 26,208 | $620K | |
| 2019 | 26,422 | $656K | |
| 2020 | 23,321 | $498K | |
| 2021 | 24,745 | $571K | |
| 2022 | 24,685 | $574K | |
| 2023 | 25,752 | $677K | |
| 2024incomplete | 22,411 | $644K |
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% | 35,489 | 31,372 | $1.46M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 34,759 | 14,794 | $562K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 7,567 | 6,931 | $420K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 6,429 | 5,873 | $360K |
| 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 | 8.3% | 5,567 | 5,177 | $354K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 5,169 | 4,668 | $258K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 4,070 | 3,756 | $253K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.6% | 24,636 | 22,232 | $193K |
| 90671 | 3.0% | 796 | 608 | $128K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 2,457 | 2,267 | $58K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,017 | 2,796 | $34K |
| 99381 | <1% | 423 | 395 | $26K |
46 more codes
| 92551 | <1% | 2,306 | $14K | |
| 90670 | <1% | 3,731 | $12K | |
| 87428 | <1% | 334 | $10K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 46 | $9K |
| 96127 | <1% | 2,507 | $9K | |
| 90633 | <1% | 2,409 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 946 | $7K |
| 99460 | <1% | 80 | $6K | |
| 99383 | <1% | 83 | $5K | |
| 90651 | <1% | 1,940 | $4K | |
| 85018 | <1% | 2,295 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 407 | $4K |
| 81002 | <1% | 1,478 | $4K | |
| 99382 | <1% | 53 | $3K | |
| 90716 | <1% | 2,303 | $3K | |
| 36416 | <1% | 1,983 | $3K | |
| 99422 | <1% | 147 | $3K | |
| 0072A | <1% | 26 | $3K | |
| 90648 | <1% | 4,498 | $2K | |
| 99384 | <1% | 31 | $2K | |
| 90707 | <1% | 2,345 | $2K | |
| 90723 | <1% | 1,886 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 58 | $2K |
| 90734 | <1% | 1,558 | $2K | |
| 90620 | <1% | 629 | $1K | |
| 90700 | <1% | 1,908 | $919.89 | |
| 90686 | <1% | 2,472 | $829.36 | |
| 90656 | <1% | 337 | $622.15 | |
| 90681 | <1% | 1,286 | $524.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $482.31 |
| 90715 | <1% | 699 | $380.16 | |
| 90696 | <1% | 756 | $377.95 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 36 | $360.16 |
| 99421 | <1% | 34 | $340.41 | |
| 90713 | <1% | 477 | $309.55 | |
| 90658 | <1% | 284 | $165.00 | |
| 90685 | <1% | 116 | $160.00 | |
| 86580 | <1% | 32 | $142.72 | |
| 80305 | <1% | 12 | $120.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 35 | $56.17 |
| 90657 | <1% | 99 | $40.00 | |
| 90461 | <1% | 229 | $10.00 | |
| 91300 | <1% | 77 | $0.07 | |
| 91307 | <1% | 132 | $0.03 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | 0% | 35 | $0.00 |
| 99188 | 0% | 16 | $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 officialBANTA, JULIA (OM/CMA)