Physician
Ohio Pediatrics, INC.
Ohio Pediatrics, INC. was paid $7.39M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoOHIO PEDIATRICS, INC.
KETTERING, OH 45420
KETTERING, OH 45420
33aNPI1619090750assigned 04/06/2007
33bProvider typePediatrics Physician
28Total paid$7.39M
24GClaims209,514
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#9 of 401
Median peer was paid$30K
This provider vs. median250×
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 | 32,552 | $895K | |
| 2019 | 24,444 | $826K | |
| 2020 | 25,528 | $862K | |
| 2021 | 30,483 | $1.17M | |
| 2022 | 31,455 | $1.22M | |
| 2023 | 31,717 | $1.23M | |
| 2024incomplete | 33,335 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 45,073 | 40,817 | $2.86M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 43,090 | 34,189 | $1.20M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 16,525 | 15,612 | $924K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 19,349 | 17,776 | $832K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 15,147 | 13,715 | $755K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 7,803 | 7,519 | $436K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,108 | 1,092 | $69K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,832 | 5,410 | $69K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 881 | 816 | $44K |
| 96112 | <1% | 831 | 693 | $38K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,746 | 5,401 | $38K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,602 | 1,192 | $30K |
43 more codes
| 99051 | <1% | 1,405 | $28K | |
| 3008F | <1% | 2,114 | $18K | |
| 99460 | <1% | 146 | $9K | |
| 90633 | <1% | 2,137 | $5K | |
| 96111 | <1% | 111 | $5K | |
| 99381 | <1% | 100 | $5K | |
| 99177 | <1% | 858 | $4K | |
| 92551 | <1% | 547 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 208 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 80 | $2K |
| 96127 | <1% | 485 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 149 | $1K |
| 99173 | <1% | 598 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 83 | $1K |
| 99188 | <1% | 33 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 92 | $996.92 |
| 31720 | <1% | 14 | $583.63 | |
| 90698 | <1% | 5,143 | $420.00 | |
| 87807 | <1% | 27 | $285.74 | |
| 90696 | <1% | 153 | $230.00 | |
| 90680 | <1% | 5,163 | $160.00 | |
| 90686 | <1% | 8,982 | $98.09 | |
| 81002 | <1% | 33 | $80.90 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 66 | $9.02 |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 14 | $7.50 |
| A7002 | Tubing, used with suction pump, each | <1% | 14 | $3.75 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 14 | $1.63 |
| 90670 | 0% | 8,323 | $0.00 | |
| 90685 | 0% | 1,601 | $0.00 | |
| 90648 | 0% | 54 | $0.00 | |
| 90707 | 0% | 73 | $0.00 | |
| 90710 | 0% | 153 | $0.00 | |
| 90715 | 0% | 57 | $0.00 | |
| 90734 | 0% | 71 | $0.00 | |
| 90700 | 0% | 45 | $0.00 | |
| 90674 | 0% | 336 | $0.00 | |
| 90744 | 0% | 1,638 | $0.00 | |
| 90656 | 0% | 1,153 | $0.00 | |
| 90677 | 0% | 1,811 | $0.00 | |
| 90697 | 0% | 1,168 | $0.00 | |
| 90651 | 0% | 114 | $0.00 | |
| 90716 | 0% | 107 | $0.00 | |
| 90619 | 0% | 54 | $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 officialMILNER, MICHELE (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Ohio Pediatrics, INC. | Vandalia, OH | $1.41M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.