Kidz Paradise Pediatrics

Kidz Paradise Pediatrics was paid $416K by Medicaid between Jan 2018 and Feb 2021, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoKIDZ PARADISE PEDIATRICS
LIMA, OH 45805

33aNPI1306138458assigned 05/09/2011

33bProvider typePediatrics Physician

28Total paid$416K

24GClaims12,364

24DCodes billed25

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Pediatrics Physician providers in Ohio

Rank by total paid#87 of 401

Median peer was paid$30K

This provider vs. median14×

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	4,052	$131K
2019	4,021	$133K
2020	3,694	$128K
2021	597	$23K

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	32%	3,130	2,700	$134K
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	25%	1,602	1,513	$102K
90460	Immunization administration through 18 years of age via any route, first or only component	12%	3,288	1,281	$52K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	10.0%	808	749	$42K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.5%	700	687	$40K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.2%	390	384	$22K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.8%	182	179	$12K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.0%	356	349	$4K
99051		<1%	136	127	$2K
99381		<1%	27	27	$2K
90670		<1%	560	548	$1K
90698		<1%	382	372	$960.00

13 more codes

90680		<1%	264	$680.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	38	$445.47
90633		<1%	134	$390.00
90744		<1%	129	$320.00
92551		<1%	28	$144.94
90686		<1%	54	$130.00
90734		<1%	31	$100.00
90710		<1%	17	$70.00
90700		<1%	25	$70.00
90651		<1%	27	$60.00
99173		<1%	29	$59.76
90696		<1%	14	$50.00
90716		<1%	13	$20.00

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 officialDUNCAN-SAMPSON, TILLY (OWNER)