Physician
The Pediatric Center, INC.
The Pediatric Center, INC. was paid $7.34M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoTHE PEDIATRIC CENTER, INC.
TOLEDO, OH 43623
TOLEDO, OH 43623
33aNPI1407995723assigned 02/05/2007
33bProvider typePediatrics Physician
28Total paid$7.34M
24GClaims391,737
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#10 of 401
Median peer was paid$30K
This provider vs. median249×
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 | 55,691 | $1.16M | |
| 2019 | 55,545 | $1.07M | |
| 2020 | 46,413 | $828K | |
| 2021 | 49,021 | $931K | |
| 2022 | 53,064 | $1.05M | |
| 2023 | 60,779 | $1.12M | |
| 2024incomplete | 71,224 | $1.17M |
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 | 39% | 67,344 | 58,837 | $2.88M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.1% | 50,435 | 22,864 | $668K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 10,928 | 10,267 | $584K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 9,306 | 8,531 | $511K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 7,483 | 6,949 | $433K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 6,330 | 5,712 | $309K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.8% | 8,325 | 7,485 | $205K |
| 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 | 2.4% | 2,750 | 2,491 | $178K |
| 90671 | 2.4% | 896 | 720 | $176K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 1,792 | 1,414 | $147K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 18,076 | 14,608 | $136K |
| 92558 | 1.7% | 8,536 | 8,025 | $124K |
72 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,784 | $73K |
| 90651 | <1% | 2,582 | $64K | |
| 96127 | <1% | 17,376 | $59K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 802 | $58K |
| 90619 | <1% | 872 | $56K | |
| 90670 | <1% | 3,423 | $53K | |
| 85018 | <1% | 28,249 | $50K | |
| 87631 | <1% | 654 | $44K | |
| 97802 | <1% | 17,090 | $43K | |
| 36416 | <1% | 27,225 | $43K | |
| 87070 | <1% | 6,378 | $40K | |
| 81002 | <1% | 14,712 | $32K | |
| 92567 | <1% | 2,651 | $31K | |
| 99177 | <1% | 3,550 | $27K | |
| 99495 | <1% | 243 | $26K | |
| 80061 | Lipid panel | <1% | 2,283 | $25K |
| 83655 | <1% | 2,617 | $25K | |
| 90686 | <1% | 4,557 | $21K | |
| 90633 | <1% | 2,045 | $18K | |
| 90698 | <1% | 2,264 | $18K | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 635 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,066 | $12K |
| 90734 | <1% | 1,298 | $10K | |
| 90716 | <1% | 1,292 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 787 | $9K |
| 0071A | <1% | 104 | $9K | |
| 90621 | <1% | 549 | $8K | |
| 90707 | <1% | 1,281 | $8K | |
| 96160 | <1% | 4,118 | $8K | |
| 99381 | <1% | 120 | $8K | |
| 90680 | <1% | 1,642 | $8K | |
| 90744 | <1% | 1,269 | $7K | |
| 0001A | <1% | 69 | $6K | |
| 90700 | <1% | 1,200 | $6K | |
| 99173 | <1% | 4,433 | $6K | |
| 90461 | <1% | 13,775 | $6K | |
| 87634 | <1% | 119 | $6K | |
| 90710 | <1% | 130 | $5K | |
| 0072A | <1% | 70 | $5K | |
| 90715 | <1% | 650 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 397 | $4K |
| 90656 | <1% | 557 | $4K | |
| 99188 | <1% | 198 | $3K | |
| 96112 | <1% | 58 | $3K | |
| 2014F | <1% | 1,006 | $2K | |
| 90713 | <1% | 421 | $2K | |
| 87088 | <1% | 364 | $2K | |
| 92587 | <1% | 112 | $2K | |
| 0002A | <1% | 48 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 30 | $2K |
| 90697 | <1% | 587 | $1K | |
| 87807 | <1% | 80 | $918.27 | |
| 92552 | <1% | 56 | $916.36 | |
| 17110 | <1% | 14 | $886.34 | |
| 90685 | <1% | 129 | $768.75 | |
| 90648 | <1% | 96 | $475.75 | |
| 90696 | <1% | 98 | $440.00 | |
| 99051 | <1% | 12 | $149.75 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 394 | $16.77 |
| 91300 | <1% | 268 | $0.99 | |
| 91307 | <1% | 222 | $0.56 | |
| 3008F | <1% | 3,907 | $0.38 | |
| 2001F | <1% | 4,918 | $0.14 | |
| 4004F | 0% | 1,560 | $0.00 | |
| 3210F | 0% | 55 | $0.00 | |
| 1030F | 0% | 4,596 | $0.00 | |
| 3352F | 0% | 323 | $0.00 | |
| 1111F | 0% | 255 | $0.00 | |
| 1036F | 0% | 1,475 | $0.00 | |
| 3353F | 0% | 214 | $0.00 | |
| 3351F | 0% | 107 | $0.00 | |
| 94760 | 0% | 15 | $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 officialDRAKE, AMY (BILLING MANAGER, OWNER)