Physician
Premier Care Pediatrics, INC.
Premier Care Pediatrics, INC. was paid $116K by Medicaid between Jan 2018 and Jun 2019, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoPREMIER CARE PEDIATRICS, INC.
CORTLAND, OH 44410
CORTLAND, OH 44410
33aNPI1508942400assigned 10/31/2006
33bProvider typePediatrics Physician
28Total paid$116K
24GClaims2,951
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#138 of 401
Median peer was paid$30K
This provider vs. median3.9×
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 | 2,217 | $85K | |
| 2019 | 734 | $30K |
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 | 44% | 1,029 | 977 | $51K |
| 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 | 29% | 448 | 431 | $34K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 717 | 519 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 66 | 66 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 66 | 66 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 20 | 20 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 91 | 90 | $969.17 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | 12 | $709.32 |
| 81003 | <1% | 257 | 257 | $547.19 | |
| 90686 | <1% | 162 | 161 | $180.74 | |
| 90685 | <1% | 32 | 32 | $152.25 | |
| 90734 | <1% | 13 | 13 | $130.50 |
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 officialSANSOTERRA, DAVID (PRESIDENT)