NP / PA
Dayton Children's Specialty Physicians, INC.
Dayton Children's Specialty Physicians, INC. was paid $31.76M by Medicaid between Jan 2018 and Dec 2024, across 136 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoDAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC.
DAYTON, OH 45404
DAYTON, OH 45404
33aNPI1225192610assigned 12/20/2006
33bProvider typePediatric Nurse Practitioner
28Total paid$31.76M
24GClaims861,990
24DCodes billed136
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Ohio
Rank by total paid#1 of 24
Median peer was paid$3K
This provider vs. median12,178×
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 | 50,743 | $1.65M | |
| 2019 | 88,149 | $3.03M | |
| 2020 | 77,881 | $2.72M | |
| 2021 | 144,669 | $5.10M | |
| 2022 | 164,258 | $5.84M | |
| 2023 | 186,306 | $6.94M | |
| 2024incomplete | 149,984 | $6.47M |
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 | 17% | 136,957 | 129,552 | $5.51M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 90,105 | 86,325 | $4.91M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 128,914 | 121,741 | $3.29M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 10% | 98,329 | 93,750 | $3.18M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.1% | 37,987 | 35,898 | $1.95M |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 5.5% | 25,307 | 24,544 | $1.75M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.2% | 42,483 | 40,833 | $1.32M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.9% | 17,221 | 16,113 | $922K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.6% | 45,857 | 44,371 | $836K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.9% | 7,190 | 6,783 | $617K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 16,309 | 15,890 | $592K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.6% | 9,033 | 4,317 | $517K |
124 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 16,780 | $513K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.6% | 3,571 | $513K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.4% | 2,551 | $456K |
| 99205 | Prolong outpt/office vis | 1.2% | 5,651 | $378K |
| 99219 | 1.1% | 6,626 | $349K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 40,228 | $309K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 7,769 | $305K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 9,816 | $280K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 4,769 | $262K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,050 | $219K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 4,259 | $198K |
| 95720 | <1% | 1,372 | $197K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 4,030 | $181K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 4,583 | $173K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 2,219 | $150K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 486 | $146K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 4,221 | $132K |
| 95782 | <1% | 1,652 | $104K | |
| 25600 | <1% | 633 | $100K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 4,363 | $99K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,270 | $94K |
| 95951 | <1% | 598 | $78K | |
| 94010 | <1% | 12,824 | $78K | |
| 93320 | <1% | 5,312 | $75K | |
| 99217 | <1% | 2,214 | $71K | |
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 454 | $66K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,091 | $52K |
| 99188 | <1% | 2,562 | $50K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 675 | $47K |
| 99381 | <1% | 1,339 | $44K | |
| 42830 | <1% | 493 | $39K | |
| 88304 | <1% | 4,786 | $38K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 1,059 | $38K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,018 | $34K |
| 99245 | <1% | 487 | $33K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 741 | $32K |
| 92015 | Determination of refractive state | <1% | 4,843 | $25K |
| 95819 | <1% | 995 | $23K | |
| 01922 | <1% | 148 | $17K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,134 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,381 | $16K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 234 | $16K |
| 64642 | <1% | 217 | $15K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 137 | $15K |
| 99417 | Prolong home eval add 15m | <1% | 528 | $14K |
| 93325 | <1% | 4,218 | $14K | |
| 95953 | <1% | 141 | $13K | |
| 00140 | <1% | 221 | $12K | |
| 94060 | <1% | 1,080 | $12K | |
| 00126 | <1% | 278 | $12K | |
| 92060 | <1% | 1,431 | $11K | |
| 99173 | <1% | 4,756 | $11K | |
| 96127 | <1% | 2,420 | $10K | |
| 99223 | Prolong inpt eval add15 m | <1% | 137 | $9K |
| 64643 | <1% | 119 | $9K | |
| 88313 | <1% | 750 | $8K | |
| 88104 | <1% | 396 | $8K | |
| 16020 | <1% | 321 | $8K | |
| 92551 | <1% | 1,822 | $6K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 125 | $6K |
| 99471 | <1% | 13 | $6K | |
| 99382 | <1% | 150 | $6K | |
| 76825 | <1% | 105 | $5K | |
| 99235 | <1% | 73 | $5K | |
| 95719 | <1% | 40 | $5K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 467 | $5K |
| 99225 | <1% | 219 | $5K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 167 | $5K |
| 88342 | <1% | 172 | $4K | |
| 96112 | <1% | 151 | $4K | |
| 87430 | <1% | 361 | $4K | |
| 90839 | <1% | 40 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 173 | $4K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 94 | $3K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 47 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 95 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 173 | $3K |
| 88307 | <1% | 52 | $3K | |
| 99383 | <1% | 70 | $3K | |
| 95076 | <1% | 43 | $2K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 42 | $2K |
| 99220 | <1% | 31 | $2K | |
| 95816 | <1% | 94 | $2K | |
| 99221 | <1% | 54 | $2K | |
| 99226 | <1% | 57 | $2K | |
| 96161 | <1% | 690 | $2K | |
| Q4008 | Cast supplies, long arm cast, pediatric (0-10 years), fiberglass | <1% | 171 | $2K |
| 95957 | <1% | 147 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 135 | $1K |
| 76827 | <1% | 105 | $1K | |
| 31575 | <1% | 39 | $1K | |
| 54162 | <1% | 12 | $1K | |
| 87807 | <1% | 119 | $1K | |
| 29075 | <1% | 25 | $989.12 | |
| 90785 | <1% | 89 | $912.88 | |
| 92201 | <1% | 52 | $889.17 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 144 | $827.78 |
| 95251 | <1% | 183 | $739.18 | |
| 90686 | <1% | 86 | $696.31 | |
| 00920 | <1% | 12 | $626.35 | |
| 99252 | <1% | 17 | $622.81 | |
| 99253 | <1% | 13 | $593.97 | |
| 00731 | <1% | 12 | $583.39 | |
| 96132 | <1% | 43 | $483.00 | |
| 54150 | <1% | 12 | $456.21 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 17 | $444.98 |
| 93304 | <1% | 12 | $329.04 | |
| 93227 | <1% | 14 | $316.26 | |
| 64405 | <1% | 14 | $313.46 | |
| 31622 | <1% | 17 | $294.03 | |
| J3490 | Unclassified drugs | <1% | 167 | $291.87 |
| 93308 | <1% | 13 | $248.64 | |
| 99051 | <1% | 80 | $248.60 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $218.52 |
| 87081 | <1% | 48 | $218.30 | |
| Q4012 | Cast supplies, short arm cast, pediatric (0-10 years), fiberglass | <1% | 28 | $193.40 |
| 17250 | <1% | 14 | $182.14 | |
| 69210 | <1% | 16 | $150.68 | |
| 99201 | <1% | 12 | $145.10 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 72 | $102.64 |
| 93321 | <1% | 13 | $76.23 | |
| 96160 | <1% | 222 | $57.60 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 29 | $3.84 |
| 90461 | 0% | 22 | $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 officialBERGMAN, CHRIS (C.F.O.)
| Provider | Location | Paid |
|---|---|---|
| Dayton Children's Hospital | Dayton, OH | $290.63M |
| Children's Home Care of Dayton | Dayton, OH | $6.04M |
| Dayton Children's Hospital | Dayton, OH | $3.52M |
| Children's Home Care of Dayton | Dayton, OH | $1.10M |
| Dayton Children's Hospital | Miamisburg, OH | $347K |
| Children's Anesthesia Group INC | Dayton, OH | $122K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.