Clinic
Neighborhood Pediatrics, LLC
Neighborhood Pediatrics, LLC was paid $1.11M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoNEIGHBORHOOD PEDIATRICS, LLC
LAKEWOOD, OH 44107
LAKEWOOD, OH 44107
33aNPI1679724884assigned 10/07/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$1.11M
24GClaims38,026
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Ohio
Rank by total paid#13 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 | |
|---|---|---|---|
| 2018 | 5,926 | $179K | |
| 2019 | 6,826 | $185K | |
| 2020 | 5,084 | $143K | |
| 2021 | 3,742 | $124K | |
| 2022 | 4,122 | $128K | |
| 2023 | 6,255 | $212K | |
| 2024incomplete | 6,071 | $141K |
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 | 37% | 9,726 | 9,172 | $409K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 7,155 | 5,753 | $195K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 2,374 | 2,297 | $135K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 1,570 | 1,447 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 1,106 | 1,065 | $61K |
| 90670 | 4.7% | 815 | 767 | $52K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 564 | 550 | $34K |
| 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 | 2.2% | 391 | 378 | $25K |
| 90686 | 1.4% | 1,968 | 1,895 | $16K | |
| 90651 | 1.1% | 153 | 148 | $13K | |
| 92551 | <1% | 1,339 | 1,290 | $8K | |
| 90674 | <1% | 325 | 251 | $8K |
34 more codes
| 90697 | <1% | 91 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 629 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 385 | $7K |
| 90677 | <1% | 83 | $7K | |
| 99173 | <1% | 2,729 | $6K | |
| 90480 | <1% | 143 | $5K | |
| 90698 | <1% | 271 | $4K | |
| 0072A | <1% | 45 | $4K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 166 | $4K |
| 92081 | <1% | 182 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 100 | $3K |
| 0071A | <1% | 28 | $2K | |
| 90734 | <1% | 37 | $2K | |
| 90661 | <1% | 155 | $2K | |
| 96127 | <1% | 468 | $2K | |
| 3008F | <1% | 484 | $2K | |
| 91320 | <1% | 22 | $2K | |
| 90461 | <1% | 2,813 | $2K | |
| 87081 | <1% | 256 | $2K | |
| 99177 | <1% | 285 | $1K | |
| 90633 | <1% | 78 | $1K | |
| 0001A | <1% | 12 | $1K | |
| 99188 | <1% | 26 | $476.21 | |
| 90681 | <1% | 57 | $346.00 | |
| 90685 | <1% | 146 | $301.75 | |
| 36416 | <1% | 85 | $291.03 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | $219.75 |
| 90744 | <1% | 40 | $171.45 | |
| 91321 | <1% | 23 | $170.14 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 617 | $122.25 |
| 1036F | <1% | 15 | $74.25 | |
| 96161 | <1% | 31 | $42.18 | |
| 90710 | <1% | 12 | $10.00 | |
| 90619 | 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 officialMILOVANOVIC, PAULINE (OFFICE MANAGER)