Physician
Pediatric Partners of Cleveland, INC.
Pediatric Partners of Cleveland, INC. was paid $622K by Medicaid between Jan 2018 and Nov 2022, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoPEDIATRIC PARTNERS OF CLEVELAND, INC.
BEACHWOOD, OH 44122
BEACHWOOD, OH 44122
33aNPI1538160114assigned 08/09/2005
33bProvider typePediatrics Physician
28Total paid$622K
24GClaims23,129
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#76 of 401
Median peer was paid$30K
This provider vs. median21×
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 | 3,854 | $105K | |
| 2019 | 4,306 | $127K | |
| 2020 | 4,452 | $123K | |
| 2021 | 5,407 | $138K | |
| 2022 | 5,110 | $130K |
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 | 35% | 5,150 | 4,678 | $217K |
| 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 | 27% | 2,583 | 2,415 | $168K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 5,327 | 2,709 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 640 | 626 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.2% | 982 | 904 | $26K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 398 | 391 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.6% | 1,764 | 1,594 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 316 | 302 | $20K |
| 87081 | 1.1% | 1,183 | 1,091 | $7K | |
| 99050 | <1% | 347 | 324 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 344 | 164 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 66 | 61 | $3K |
19 more codes
| D1206 | Topical application of fluoride varnish | <1% | 167 | $2K |
| 99441 | <1% | 102 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $941.10 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,551 | $895.59 |
| 90473 | <1% | 80 | $880.63 | |
| 92552 | <1% | 73 | $841.32 | |
| 90686 | <1% | 659 | $766.06 | |
| 92551 | <1% | 108 | $660.22 | |
| 81002 | <1% | 238 | $605.12 | |
| 99442 | <1% | 17 | $372.89 | |
| 99241 | <1% | 14 | $353.78 | |
| 99173 | <1% | 176 | $333.33 | |
| 99188 | <1% | 12 | $186.45 | |
| 90672 | <1% | 217 | $83.32 | |
| 96160 | <1% | 12 | $17.83 | |
| 90685 | 0% | 28 | $0.00 | |
| 90670 | 0% | 30 | $0.00 | |
| 90707 | 0% | 14 | $0.00 | |
| 99000 | 0% | 519 | $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 officialWORTHINGTON, DANIEL (PRESIDENT)