Physician
Ohio Pediatrics, INC.
Ohio Pediatrics, INC. was paid $1.41M by Medicaid between Jan 2018 and Jun 2020, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoOHIO PEDIATRICS, INC.
VANDALIA, OH 45414
VANDALIA, OH 45414
33aNPI1699921932assigned 08/18/2008
33bProvider typePediatrics Physician
28Total paid$1.41M
24GClaims44,725
24DCodes billed29
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#47 of 401
Median peer was paid$30K
This provider vs. median48×
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 | 22,452 | $651K | |
| 2019 | 16,364 | $544K | |
| 2020 | 5,909 | $212K |
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 | 50% | 12,071 | 10,152 | $708K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 11,423 | 6,238 | $226K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,121 | 2,771 | $158K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 3,094 | 2,496 | $145K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 1,280 | 1,058 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 865 | 776 | $44K |
| 96112 | 1.7% | 544 | 436 | $24K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,508 | 1,394 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 713 | 319 | $8K |
| 96111 | <1% | 105 | 101 | $6K | |
| 90633 | <1% | 746 | 645 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 65 | 59 | $4K |
17 more codes
| 99051 | <1% | 160 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 979 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 154 | $2K |
| 92551 | <1% | 159 | $867.16 | |
| 90698 | <1% | 1,522 | $810.00 | |
| 99173 | <1% | 203 | $411.96 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $258.91 |
| 90680 | <1% | 1,104 | $160.00 | |
| 90696 | <1% | 42 | $160.00 | |
| 90670 | <1% | 1,998 | $25.00 | |
| 90686 | <1% | 1,212 | $19.03 | |
| 90685 | 0% | 859 | $0.00 | |
| 90707 | 0% | 32 | $0.00 | |
| 90710 | 0% | 41 | $0.00 | |
| 90744 | 0% | 636 | $0.00 | |
| 90716 | 0% | 47 | $0.00 | |
| 90651 | 0% | 13 | $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. | Kettering, OH | $7.39M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.