Physician
Premium Pediatrics
Premium Pediatrics was paid $2.34M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPREMIUM PEDIATRICS
NILES, OH 44446
NILES, OH 44446
33aNPI1497730550assigned 12/13/2005
33bProvider typePediatrics Physician
28Total paid$2.34M
24GClaims82,441
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#33 of 401
Median peer was paid$30K
This provider vs. median79×
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 | 15,756 | $364K | |
| 2019 | 16,491 | $405K | |
| 2020 | 10,045 | $285K | |
| 2021 | 10,219 | $318K | |
| 2022 | 10,365 | $336K | |
| 2023 | 10,533 | $329K | |
| 2024incomplete | 9,032 | $302K |
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 | 38% | 23,132 | 20,378 | $900K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 8,915 | 8,192 | $277K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 4,264 | 3,979 | $230K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.3% | 4,561 | 3,955 | $218K |
| 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 | 6.8% | 2,682 | 2,473 | $159K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 3,012 | 2,823 | $155K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.4% | 13,563 | 12,698 | $151K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 1,769 | 1,666 | $103K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 2,701 | 2,518 | $67K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 5,430 | 4,702 | $62K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 369 | 282 | $4K |
| 90686 | <1% | 1,837 | 1,710 | $2K |
29 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 158 | $2K |
| 90670 | <1% | 2,158 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 101 | $1K |
| 90651 | <1% | 408 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 58 | $856.74 |
| 90619 | <1% | 153 | $632.24 | |
| 81003 | <1% | 265 | $501.88 | |
| 92551 | <1% | 94 | $460.64 | |
| 90734 | <1% | 265 | $438.74 | |
| 90698 | <1% | 1,177 | $387.25 | |
| 90680 | <1% | 1,118 | $372.70 | |
| 99051 | <1% | 16 | $301.52 | |
| 90685 | <1% | 196 | $270.85 | |
| 90715 | <1% | 322 | $216.97 | |
| 90744 | <1% | 513 | $185.15 | |
| 99173 | <1% | 108 | $175.85 | |
| 90633 | <1% | 476 | $165.15 | |
| 90656 | <1% | 140 | $68.14 | |
| 90700 | <1% | 106 | $20.00 | |
| 90707 | <1% | 73 | $10.00 | |
| 90710 | <1% | 85 | $10.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 70 | $1.45 |
| 90677 | 0% | 131 | $0.00 | |
| 94760 | 0% | 269 | $0.00 | |
| 90696 | 0% | 77 | $0.00 | |
| 90697 | 0% | 91 | $0.00 | |
| 90716 | 0% | 59 | $0.00 | |
| 90461 | 0% | 1,481 | $0.00 | |
| 90648 | 0% | 38 | $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 officialOKLOTA-FADELL, CARRIE (PRESIDENT)