Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › DAYTON › DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC.

DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC.

NPI: 1225192610 · DAYTON, OH 45404 · Pediatric Nurse Practitioner · NPI assigned 12/20/2006

$31.76M
Total Medicaid Paid
861,990
Total Claims
801,058
Beneficiaries
136
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERGMAN, CHRIS (C.F.O.)
NPI Enumeration Date12/20/2006

Related Entities

Other providers sharing the same authorized official: BERGMAN, CHRIS

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 149,984 $6.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 136,957 129,552 $5.51M
99284 Emergency department visit for the evaluation and management, high severity 90,105 86,325 $4.91M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 128,914 121,741 $3.29M
99283 Emergency department visit for the evaluation and management, moderate severity 98,329 93,750 $3.18M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 37,987 35,898 $1.95M
00170 Anesthesia for intraoral procedures, including biopsy 25,307 24,544 $1.75M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42,483 40,833 $1.32M
99215 Prolong outpt/office vis 17,221 16,113 $922K
99282 Emergency department visit for the evaluation and management, low to moderate severity 45,857 44,371 $836K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,190 6,783 $617K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,309 15,890 $592K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,033 4,317 $517K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16,780 16,110 $513K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 3,571 3,355 $513K
42820 Tonsillectomy and adenoidectomy; younger than age 12 2,551 2,460 $456K
99205 Prolong outpt/office vis 5,651 5,318 $378K
99219 6,626 6,430 $349K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 40,228 36,376 $309K
99233 Prolong inpt eval add15 m 7,769 2,525 $305K
99232 Subsequent hospital care, per day, moderate complexity 9,816 5,329 $280K
99222 Initial hospital care, per day, moderate complexity 4,769 4,327 $262K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,050 5,947 $219K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,259 3,950 $198K
95720 1,372 999 $197K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 4,030 3,592 $181K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 4,583 4,332 $173K
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,219 2,161 $150K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 486 271 $146K
99238 Hospital discharge day management, 30 minutes or less 4,221 4,061 $132K
95782 1,652 1,624 $104K
25600 633 618 $100K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,363 3,904 $99K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,270 2,209 $94K
95951 598 406 $78K
94010 12,824 12,012 $78K
93320 5,312 4,712 $75K
99217 2,214 2,128 $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 454 437 $66K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,091 3,810 $52K
99188 2,562 2,425 $50K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 675 382 $47K
99381 1,339 1,297 $44K
42830 493 440 $39K
88304 4,786 3,799 $38K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 1,059 1,046 $38K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,018 971 $34K
99245 487 482 $33K
99239 Hospital discharge day management, more than 30 minutes 741 694 $32K
92015 Determination of refractive state 4,843 4,310 $25K
95819 995 955 $23K
01922 148 145 $17K
D1208 Topical application of fluoride, excluding varnish 1,134 1,121 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,381 658 $16K
99244 Office or other outpatient consultation, moderate to high complexity 234 229 $16K
64642 217 208 $15K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 137 129 $15K
99417 Prolong home eval add 15m 528 499 $14K
93325 4,218 3,764 $14K
95953 141 106 $13K
00140 221 217 $12K
94060 1,080 1,022 $12K
00126 278 270 $12K
92060 1,431 1,176 $11K
99173 4,756 4,548 $11K
96127 2,420 2,383 $10K
99223 Prolong inpt eval add15 m 137 114 $9K
64643 119 114 $9K
88313 750 485 $8K
88104 396 287 $8K
16020 321 206 $8K
92551 1,822 1,799 $6K
90847 Family psychotherapy with the patient present, 50 minutes 125 62 $6K
99471 13 13 $6K
99382 150 146 $6K
76825 105 54 $5K
99235 73 68 $5K
95719 40 39 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor 467 411 $5K
99225 219 165 $5K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 167 157 $5K
88342 172 130 $4K
96112 151 144 $4K
87430 361 341 $4K
90839 40 36 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 173 173 $4K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 94 87 $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 47 45 $3K
90834 Psychotherapy, 45 minutes with patient 95 55 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 173 90 $3K
88307 52 47 $3K
99383 70 64 $3K
95076 43 38 $2K
90846 Family psychotherapy without the patient present, 50 minutes 42 39 $2K
99220 31 29 $2K
95816 94 78 $2K
99221 54 50 $2K
99226 57 43 $2K
96161 690 662 $2K
Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass 171 159 $2K
95957 147 120 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 135 115 $1K
76827 105 54 $1K
31575 39 39 $1K
54162 12 12 $1K
87807 119 107 $1K
29075 25 25 $989.12
90785 89 85 $912.88
92201 52 42 $889.17
96110 Developmental screening, with scoring and documentation, per standardized instrument 144 143 $827.78
95251 183 180 $739.18
90686 86 76 $696.31
00920 12 12 $626.35
99252 17 13 $622.81
99253 13 12 $593.97
00731 12 12 $583.39
96132 43 32 $483.00
54150 12 12 $456.21
90832 Psychotherapy, 30 minutes with patient 17 14 $444.98
93304 12 12 $329.04
93227 14 14 $316.26
64405 14 13 $313.46
31622 17 14 $294.03
J3490 Unclassified drugs 167 134 $291.87
93308 13 13 $248.64
99051 80 58 $248.60
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 13 $218.52
87081 48 43 $218.30
Q4012 Cast supplies, short arm cast, pediatric (0-10 years), fiberglass 28 27 $193.40
17250 14 12 $182.14
69210 16 12 $150.68
99201 12 12 $145.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg 72 71 $102.64
93321 13 13 $76.23
96160 222 217 $57.60
J8540 Dexamethasone, oral, 0.25 mg 29 28 $3.84
90461 22 21 $0.00