Physician
Northeast Cincinnati Pediatric Associates, INC.
Northeast Cincinnati Pediatric Associates, INC. was paid $857K by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoNORTHEAST CINCINNATI PEDIATRIC ASSOCIATES, INC.
MASON, OH 45040
MASON, OH 45040
33aNPI1245358845assigned 03/26/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$857K
24GClaims31,282
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Ohio
Rank by total paid#3 of 23
Median peer was paid$84K
This provider vs. median10×
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 | 4,441 | $131K | |
| 2019 | 3,932 | $111K | |
| 2020 | 2,964 | $74K | |
| 2021 | 4,163 | $126K | |
| 2022 | 5,504 | $156K | |
| 2023 | 5,135 | $147K | |
| 2024incomplete | 5,143 | $113K |
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 | 58% | 13,192 | 12,025 | $497K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 5,557 | 5,136 | $140K |
| 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 | 6.6% | 986 | 896 | $57K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 856 | 812 | $44K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 534 | 504 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 510 | 494 | $25K |
| 97802 | 2.0% | 933 | 890 | $17K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 290 | 285 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 184 | 172 | $9K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 331 | 299 | $6K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 117 | 108 | $6K |
| 99051 | <1% | 211 | 201 | $4K |
35 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 32 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 196 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 66 | $2K |
| 96127 | <1% | 452 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $1K |
| 99177 | <1% | 137 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 137 | $929.83 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 16 | $632.21 |
| 90670 | <1% | 311 | $528.88 | |
| 90686 | <1% | 1,598 | $518.21 | |
| 96161 | <1% | 273 | $418.01 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | $382.80 |
| 90480 | <1% | 15 | $302.16 | |
| 36416 | <1% | 59 | $102.87 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 208 | $91.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,544 | $88.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19 | $84.10 |
| 90648 | <1% | 13 | $46.35 | |
| 90700 | <1% | 54 | $46.35 | |
| 90661 | <1% | 58 | $35.62 | |
| 90707 | <1% | 24 | $10.00 | |
| 90680 | 0% | 109 | $0.00 | |
| 90698 | 0% | 127 | $0.00 | |
| 99000 | 0% | 117 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 91307 | 0% | 12 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 99072 | 0% | 476 | $0.00 | |
| 90461 | 0% | 1,275 | $0.00 | |
| 90633 | 0% | 54 | $0.00 | |
| 99080 | 0% | 89 | $0.00 | |
| 90685 | 0% | 15 | $0.00 | |
| 90713 | 0% | 12 | $0.00 | |
| 90734 | 0% | 14 | $0.00 | |
| 91300 | 0% | 13 | $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 officialKAHERL, DENITA (BILLING DEPARTMENT MANAGER)