Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTHEAST CINCINNATI PEDIATRIC ASSOCIATES, INC.

NPI: 1245358845 · MASON, OH 45040 · Pediatric Adolescent Medicine Physician · NPI assigned 03/26/2007

$857K
Total Medicaid Paid
31,282
Total Claims
28,969
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKAHERL, DENITA (BILLING DEPARTMENT MANAGER)
NPI Enumeration Date03/26/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,143 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,192 12,025 $497K
90460 Immunization administration through 18 years of age via any route, first or only component 5,557 5,136 $140K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 986 896 $57K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 856 812 $44K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 534 504 $25K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 510 494 $25K
97802 933 890 $17K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 290 285 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 184 172 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 331 299 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 117 108 $6K
99051 211 201 $4K
90834 Psychotherapy, 45 minutes with patient 32 25 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 196 192 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 66 60 $2K
96127 452 424 $2K
99215 Prolong outpt/office vis 17 13 $1K
99177 137 134 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 137 106 $929.83
90832 Psychotherapy, 30 minutes with patient 16 13 $632.21
90670 311 294 $528.88
90686 1,598 1,554 $518.21
96161 273 256 $418.01
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 15 $382.80
90480 15 12 $302.16
36416 59 54 $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 208 199 $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) 1,544 1,429 $88.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19 19 $84.10
90648 13 13 $46.35
90700 54 53 $46.35
90661 58 49 $35.62
90707 24 24 $10.00
90680 109 105 $0.00
90698 127 124 $0.00
99000 117 115 $0.00
90716 12 12 $0.00
91307 12 12 $0.00
90677 12 12 $0.00
99072 476 433 $0.00
90461 1,275 1,207 $0.00
90633 54 54 $0.00
99080 89 83 $0.00
90685 15 14 $0.00
90713 12 12 $0.00
90734 14 14 $0.00
91300 13 12 $0.00