Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTHWEST CHILDREN'S COMMUNITY PRACTICES II, LLC

NPI: 1487231619 · TOLEDO, OH 43617 · Pediatrics Physician · NPI assigned 03/25/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MILLER, RICHARD controls 20+ related entities in our dataset. Read more

$542K
Total Medicaid Paid
19,894
Total Claims
17,489
Beneficiaries
24
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, RICHARD (AUTHORIZED OFFICIAL)
Parent OrganizationNATIONWIDE CHILDREN'S HOSPITAL
NPI Enumeration Date03/25/2021

Related Entities

Other providers sharing the same authorized official: MILLER, RICHARD

ProviderCityStateTotal Paid
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $42.17M
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC TOLEDO OH $12.53M
NASSAU HEALTH CARE CORPORATION UNIONDALE NY $11.59M
OHIO PEDIATRIC CARE ALLIANCE PHYSICIANS, LLC SPRINGFIELD OH $5.50M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $5.34M
NORTHWEST PEDIATRIC SPECIALISTS, LLC TOLEDO OH $4.44M
SUNY HEALTH SCIENCE CENTER AT BKLYN BROOKLYN NY $2.99M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.99M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.72M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.29M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $605K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $554K
SOUTHWEST MS NEPHROLOGY, PLLC BROOKHAVEN MS $471K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $318K
PULMONARY & CRITICAL CARE ASSOCIATES NEWARK NJ $314K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $302K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $151K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $146K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $102K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $97K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,942 $47K
2022 5,242 $142K
2023 7,051 $178K
2024 5,659 $175K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,353 6,814 $283K
90460 Immunization administration through 18 years of age via any route, first or only component 4,324 3,014 $97K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 925 845 $55K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 467 448 $25K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 406 376 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 600 533 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 414 385 $10K
90686 1,394 1,351 $7K
87428 240 203 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 123 114 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 75 72 $4K
90656 286 278 $3K
99177 349 336 $3K
36416 962 910 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 114 108 $2K
85018 959 907 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 94 46 $993.54
90670 29 25 $541.78
96127 133 124 $478.09
90647 12 12 $31.51
90680 12 12 $10.50
90723 12 12 $10.50
90461 599 552 $5.00
90677 12 12 $0.05