Clinic
Community Pediatrics, INC
Community Pediatrics, INC was paid $1.16M by Medicaid between Apr 2019 and Nov 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoCOMMUNITY PEDIATRICS, INC
HILLIARD, OH 43026
HILLIARD, OH 43026
33aNPI1669723409assigned 09/19/2012
33bProvider typePrimary Care Clinic/Center
28Total paid$1.16M
24GClaims30,440
24DCodes billed36
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Ohio
Rank by total paid#12 of 118
Median peer was paid$67K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2019 | 3,380 | $111K | |
| 2020 | 4,742 | $168K | |
| 2021 | 6,463 | $264K | |
| 2022 | 6,760 | $262K | |
| 2023 | 5,584 | $225K | |
| 2024incomplete | 3,511 | $135K |
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 | 28% | 4,893 | 4,391 | $331K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 5,354 | 4,743 | $237K |
| 90670 | 7.1% | 477 | 442 | $82K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 1,063 | 1,044 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 980 | 961 | $57K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.1% | 3,942 | 3,748 | $47K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 1,485 | 1,384 | $45K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 681 | 668 | $44K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 726 | 687 | $38K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.0% | 2,065 | 1,962 | $34K |
| 92552 | 2.8% | 2,658 | 2,601 | $33K | |
| 90716 | 1.9% | 201 | 186 | $23K |
24 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 1,834 | $19K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.4% | 593 | $17K |
| 90651 | 1.4% | 159 | $16K | |
| 90734 | 1.4% | 221 | $16K | |
| 90688 | 1.2% | 1,212 | $14K | |
| 90707 | 1.0% | 214 | $12K | |
| 90619 | <1% | 81 | $9K | |
| 90633 | <1% | 181 | $8K | |
| 90698 | <1% | 92 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 415 | $4K |
| 90715 | <1% | 94 | $2K | |
| 90700 | <1% | 200 | $2K | |
| 90621 | <1% | 17 | $2K | |
| 0001A | <1% | 48 | $2K | |
| 90687 | <1% | 161 | $1K | |
| 90713 | <1% | 90 | $1K | |
| 0002A | <1% | 28 | $905.00 | |
| 90680 | <1% | 80 | $535.50 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $481.28 |
| 90744 | <1% | 65 | $367.50 | |
| 90648 | <1% | 16 | $354.24 | |
| 91300 | <1% | 54 | $200.23 | |
| 90461 | <1% | 13 | $26.25 | |
| 91307 | <1% | 30 | $0.27 |
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 officialKASHEER, ENAAS (PRESIDENT)