Physician
Children's Community Practices, LLC
Children's Community Practices, LLC was paid $4.70M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoCHILDREN'S COMMUNITY PRACTICES, LLC
MANSFIELD, OH 44906
MANSFIELD, OH 44906
33aNPI1386031896assigned 04/22/2015
33bProvider typePediatrics Physician
28Total paid$4.70M
24GClaims146,467
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#12 of 401
Median peer was paid$30K
This provider vs. median159×
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 | 15,365 | $406K | |
| 2019 | 15,268 | $437K | |
| 2020 | 15,049 | $453K | |
| 2021 | 19,983 | $650K | |
| 2022 | 22,816 | $817K | |
| 2023 | 31,063 | $1.03M | |
| 2024incomplete | 26,923 | $902K |
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 | 47% | 54,342 | 49,035 | $2.23M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 27,909 | 20,408 | $725K |
| 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 | 13% | 9,712 | 8,966 | $593K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 6,064 | 5,745 | $342K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 4,974 | 4,554 | $245K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 3,543 | 3,418 | $196K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 2,082 | 2,021 | $129K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,939 | 1,670 | $36K |
| 96127 | <1% | 6,712 | 6,251 | $31K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 899 | 847 | $22K |
| 87428 | <1% | 469 | 389 | $16K | |
| 99188 | <1% | 901 | 844 | $15K |
44 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,099 | $13K |
| D1206 | Topical application of fluoride varnish | <1% | 936 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,193 | $12K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 243 | $10K |
| 36416 | <1% | 4,540 | $9K | |
| 85018 | <1% | 4,455 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 607 | $7K |
| 92557 | <1% | 214 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 315 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 75 | $6K |
| 92552 | <1% | 514 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 47 | $4K |
| 99177 | <1% | 336 | $3K | |
| 81025 | <1% | 490 | $3K | |
| 92551 | <1% | 492 | $3K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 37 | $2K |
| 99174 | <1% | 283 | $2K | |
| 90671 | <1% | 325 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 131 | $1K |
| 90686 | <1% | 3,454 | $1K | |
| 99173 | <1% | 584 | $1K | |
| 99381 | <1% | 13 | $861.30 | |
| 99383 | <1% | 13 | $851.73 | |
| 96161 | <1% | 407 | $805.92 | |
| 90670 | <1% | 2,261 | $563.35 | |
| 90633 | <1% | 451 | $374.70 | |
| 90648 | <1% | 506 | $181.50 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | $141.75 |
| 90698 | <1% | 914 | $101.92 | |
| 90723 | <1% | 191 | $71.50 | |
| 90680 | <1% | 516 | $60.43 | |
| 90685 | <1% | 28 | $25.75 | |
| 90656 | <1% | 471 | $23.47 | |
| 96160 | <1% | 13 | $21.60 | |
| 90744 | <1% | 180 | $20.00 | |
| 90734 | 0% | 131 | $0.00 | |
| 90710 | 0% | 43 | $0.00 | |
| 90715 | 0% | 24 | $0.00 | |
| 90672 | 0% | 26 | $0.00 | |
| 90697 | 0% | 117 | $0.00 | |
| 90651 | 0% | 96 | $0.00 | |
| 90677 | 0% | 110 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 90647 | 0% | 16 | $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 officialMCCLIMON, PATRICIA (AUTHORIZED OFFICIAL)
Parent organizationCHILDREN'S COMMUNITY PRACTICES, LLC