Physician
Heart of Ohio Pediatrics LLC
Heart of Ohio Pediatrics LLC was paid $115K by Medicaid between May 2022 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoHEART OF OHIO PEDIATRICS LLC
NEWARK, OH 43055
NEWARK, OH 43055
33aNPI1568116317assigned 02/10/2022
33bProvider typePediatrics Physician
28Total paid$115K
24GClaims2,916
24DCodes billed7
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#139 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 | |
|---|---|---|---|
| 2022 | 962 | $36K | |
| 2023 | 1,155 | $45K | |
| 2024incomplete | 799 | $34K |
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 | 75% | 2,211 | 1,802 | $86K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 211 | 173 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 130 | 92 | $7K |
| 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 | 4.2% | 84 | 71 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 66 | 49 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 143 | 112 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 71 | 58 | $744.97 |
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 officialFOUST, ROBERT (BUSINESS MANAGER)