Physician
Northwest Pediatrics LLC.
Northwest Pediatrics LLC. was paid $365K by Medicaid between Jul 2018 and Aug 2023, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoNORTHWEST PEDIATRICS LLC.
DUBLIN, OH 43016
DUBLIN, OH 43016
33aNPI1396231098assigned 07/05/2018
33bProvider typePediatrics Physician
28Total paid$365K
24GClaims20,652
24DCodes billed28
24AFirst – last monthJul 2018 – Aug 2023
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#91 of 401
Median peer was paid$30K
This provider vs. median12×
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 | 4,172 | $74K | |
| 2019 | 6,273 | $112K | |
| 2020 | 5,245 | $83K | |
| 2021 | 2,572 | $53K | |
| 2022 | 1,670 | $33K | |
| 2023 | 720 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 1,765 | 1,665 | $111K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 2,508 | 2,220 | $103K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.1% | 2,800 | 2,621 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 527 | 508 | $30K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 331 | 323 | $21K |
| 92567 | 3.9% | 1,152 | 1,111 | $14K | |
| 92587 | 3.2% | 642 | 621 | $12K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 147 | 143 | $8K |
| 96127 | 2.0% | 1,574 | 1,500 | $7K | |
| 81003 | 1.0% | 1,882 | 1,784 | $4K | |
| 80061 | Lipid panel | <1% | 365 | 339 | $3K |
| 85018 | <1% | 1,455 | 1,387 | $3K |
16 more codes
| 99051 | <1% | 147 | $3K | |
| 99173 | <1% | 1,391 | $3K | |
| 96160 | <1% | 685 | $2K | |
| 85014 | <1% | 924 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 40 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 114 | $1K |
| 99177 | <1% | 131 | $1K | |
| 36416 | <1% | 571 | $1K | |
| 83655 | <1% | 79 | $939.87 | |
| 99050 | <1% | 48 | $823.09 | |
| 88738 | <1% | 298 | $714.21 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $557.86 |
| 99174 | <1% | 26 | $190.26 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 24 | $157.32 |
| 96161 | <1% | 35 | $54.25 | |
| 94760 | 0% | 961 | $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 officialRHYAN, SCOTT (OWNER / PRESIDENT)