Physician
Urban Pediatrics
Urban Pediatrics was paid $1.44M by Medicaid between Jan 2018 and Apr 2022, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoURBAN PEDIATRICS
COLUMBUS, OH 43219
COLUMBUS, OH 43219
33aNPI1639297138assigned 03/26/2007
33bProvider typePediatrics Physician
28Total paid$1.44M
24GClaims68,553
24DCodes billed60
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#45 of 401
Median peer was paid$30K
This provider vs. median49×
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 | 25,575 | $546K | |
| 2019 | 21,158 | $437K | |
| 2020 | 9,060 | $189K | |
| 2021 | 11,075 | $223K | |
| 2022 | 1,685 | $42K |
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 | 23% | 7,596 | 7,259 | $331K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 8,005 | 6,967 | $236K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 2,451 | 2,432 | $140K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 2,403 | 2,395 | $134K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 1,677 | 1,675 | $101K |
| 92587 | 6.2% | 4,557 | 4,543 | $89K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 1,689 | 1,667 | $89K |
| 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 | 5.3% | 1,151 | 1,139 | $76K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.5% | 6,135 | 5,614 | $50K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.1% | 2,142 | 2,085 | $31K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 291 | 289 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 829 | 826 | $16K |
48 more codes
| 92567 | <1% | 1,046 | $13K | |
| 83655 | <1% | 917 | $11K | |
| 99381 | <1% | 142 | $9K | |
| 99050 | <1% | 539 | $9K | |
| 96127 | <1% | 2,307 | $9K | |
| 85018 | <1% | 3,605 | $8K | |
| 94010 | <1% | 333 | $7K | |
| 81003 | <1% | 3,518 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 500 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 248 | $7K |
| 80061 | Lipid panel | <1% | 569 | $6K |
| 96160 | <1% | 1,277 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 297 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 432 | $4K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 250 | $3K |
| 69210 | <1% | 132 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 82 | $2K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 361 | $795.13 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $770.52 |
| 90651 | <1% | 763 | $624.42 | |
| 90670 | <1% | 1,974 | $585.79 | |
| 90698 | <1% | 1,342 | $515.79 | |
| 69209 | <1% | 59 | $393.42 | |
| 99173 | <1% | 413 | $393.12 | |
| 90744 | <1% | 931 | $350.02 | |
| 90633 | <1% | 763 | $340.61 | |
| 90680 | <1% | 866 | $310.03 | |
| 90686 | <1% | 1,465 | $220.31 | |
| 90620 | <1% | 136 | $189.76 | |
| 90688 | <1% | 954 | $178.86 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $168.30 |
| 90716 | <1% | 42 | $161.59 | |
| 90658 | <1% | 366 | $130.92 | |
| 99172 | <1% | 193 | $73.09 | |
| 90685 | <1% | 201 | $70.01 | |
| 90657 | <1% | 133 | $70.00 | |
| 86580 | <1% | 14 | $68.32 | |
| 90734 | <1% | 667 | $55.76 | |
| 90707 | <1% | 37 | $51.50 | |
| 90710 | <1% | 371 | $40.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 233 | $39.76 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 172 | $38.70 |
| 90687 | <1% | 115 | $29.99 | |
| 90700 | <1% | 73 | $25.75 | |
| 90647 | <1% | 71 | $20.00 | |
| 90696 | <1% | 160 | $10.00 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 361 | $2.24 |
| 90715 | <1% | 172 | $0.01 |
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 officialWATKINS, LAWRENCE (PARTNER)