Midlands Pediatrics PC

Midlands Pediatrics PC was paid $9K by Medicaid between Aug 2018 and Oct 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoMIDLANDS PEDIATRICS PC
PAPILLION, NE 68046

33aNPI1609843580assigned 03/01/2006

33bProvider typePediatrics Physician

28Total paid$9K

24GClaims278

24DCodes billed5

24AFirst – last monthAug 2018 – Oct 2023

Compared with peers

Next to other Pediatrics Physician providers in Nebraska

Rank by total paid#25 of 29

Median peer was paid$183K

This provider vs. median0.0×

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	75	$753.14
2019	93	$5K
2020	30	$296.38
2021	14	$30.48
2022	50	$3K
2023	16	$296.89

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	80%	102	75	$7K
90686		12%	71	64	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.7%	18	17	$342.72
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.8%	28	26	$259.42
85018		1.4%	59	54	$132.02

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 officialKOBAYASHI, AI LAN (PRESIDENT)