Physician
Madison Pediatrics, INC.
Madison Pediatrics, INC. was paid $185K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoMADISON PEDIATRICS, INC.
LONDON, OH 43140
LONDON, OH 43140
33aNPI1407998347assigned 02/13/2007
33bProvider typePediatrics Physician
28Total paid$185K
24GClaims5,961
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#117 of 401
Median peer was paid$30K
This provider vs. median6.3×
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 | 1,006 | $30K | |
| 2019 | 715 | $23K | |
| 2020 | 772 | $23K | |
| 2021 | 712 | $21K | |
| 2022 | 835 | $27K | |
| 2023 | 1,309 | $39K | |
| 2024incomplete | 612 | $21K |
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 | 46% | 2,113 | 1,707 | $85K |
| 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 | 23% | 785 | 712 | $43K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 1,143 | 1,074 | $30K |
| 92587 | 5.2% | 543 | 498 | $10K | |
| 90656 | 2.2% | 567 | 531 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 69 | 63 | $4K |
| 97802 | 2.0% | 197 | 194 | $4K | |
| 92015 | Determination of refractive state | 1.4% | 128 | 120 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 124 | 116 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | 12 | $591.10 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 43 | 38 | $401.64 |
| 99050 | <1% | 33 | 30 | $381.26 |
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 officialALEXANDER, GREGG (PRESIDENT)