Clown Pediatrics
Clown Pediatrics was paid $984K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoCLOWN PEDIATRICS
GREENWOOD, IN 46142
GREENWOOD, IN 46142
33aNPI1669674461assigned 06/04/2007
33bProvider typeSpecialist
28Total paid$984K
24GClaims26,003
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Indiana
Rank by total paid#18 of 90
Median peer was paid$98K
This provider vs. median10×
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 | 4,982 | $157K | |
| 2019 | 5,041 | $171K | |
| 2020 | 4,195 | $128K | |
| 2021 | 4,344 | $161K | |
| 2022 | 4,338 | $181K | |
| 2023 | 1,887 | $105K | |
| 2024incomplete | 1,216 | $82K |
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 | 31% | 3,917 | 3,510 | $303K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 5,639 | 4,963 | $292K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 1,748 | 1,660 | $144K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.2% | 880 | 811 | $71K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 748 | 674 | $57K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 486 | 400 | $34K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 3,007 | 2,694 | $30K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.1% | 800 | 679 | $21K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 2,071 | 1,067 | $17K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 591 | 526 | $4K |
| 81003 | <1% | 2,141 | 1,987 | $4K | |
| 87428 | <1% | 59 | 58 | $2K |
20 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 114 | $1K |
| 90473 | <1% | 104 | $1K | |
| 99173 | <1% | 572 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 120 | $941.64 |
| 90698 | <1% | 97 | $393.77 | |
| 90633 | <1% | 442 | $230.56 | |
| 36416 | <1% | 80 | $211.29 | |
| 90670 | <1% | 154 | $188.26 | |
| 90619 | <1% | 34 | $160.02 | |
| 87430 | <1% | 15 | $73.71 | |
| 90651 | 0% | 28 | $0.00 | |
| 90686 | 0% | 1,005 | $0.00 | |
| 90697 | 0% | 47 | $0.00 | |
| 90680 | 0% | 46 | $0.00 | |
| 90656 | 0% | 13 | $0.00 | |
| 99051 | 0% | 834 | $0.00 | |
| 90710 | 0% | 39 | $0.00 | |
| 90734 | 0% | 43 | $0.00 | |
| 90672 | 0% | 117 | $0.00 | |
| 90715 | 0% | 12 | $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 officialROSCOE, JEREMY (PHYSICIAN)