PEDIATRIC ASSOCIATES OF DAYTON, INC.
NPI: 1609045012
· KETTERING, OH 45429
· Pediatrics Physician
· NPI assigned 02/29/2008
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | YOURA, GARY (PHYSICIAN) |
| NPI Enumeration Date | 02/29/2008 |
Related Entities
Other providers sharing the same authorized official: YOURA, GARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
487 |
$15K |
| 2022 |
1,231 |
$46K |
| 2023 |
1,231 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,914 |
1,774 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
568 |
512 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
233 |
216 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$819.39 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$645.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$154.61 |
| 90686 |
|
137 |
137 |
$0.00 |
| 94760 |
|
56 |
52 |
$0.00 |