Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OHIO PEDIATRIC CARE ALLIANCE PHYSICIANS, LLC

NPI: 1710308085 · SPRINGFIELD, OH 45503 · Pediatrics Physician · NPI assigned 01/03/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MILLER, RICHARD controls 20+ related entities in our dataset. Read more

$5.50M
Total Medicaid Paid
188,221
Total Claims
174,268
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, RICHARD (PRESIDENT AND CHIEF OPERATING OFFIC)
Parent OrganizationOHIO PEDIATRIC CARE ALLIANCE, LLC
NPI Enumeration Date01/03/2014

Related Entities

Other providers sharing the same authorized official: MILLER, RICHARD

ProviderCityStateTotal Paid
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $42.17M
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC TOLEDO OH $12.53M
NASSAU HEALTH CARE CORPORATION UNIONDALE NY $11.59M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $5.34M
NORTHWEST PEDIATRIC SPECIALISTS, LLC TOLEDO OH $4.44M
SUNY HEALTH SCIENCE CENTER AT BKLYN BROOKLYN NY $2.99M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.99M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.72M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.29M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $605K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $554K
NORTHWEST CHILDREN'S COMMUNITY PRACTICES II, LLC TOLEDO OH $542K
SOUTHWEST MS NEPHROLOGY, PLLC BROOKHAVEN MS $471K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $318K
PULMONARY & CRITICAL CARE ASSOCIATES NEWARK NJ $314K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $302K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $151K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $146K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $102K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $97K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38,750 $1.04M
2019 38,148 $1.07M
2020 28,179 $810K
2021 25,031 $779K
2022 20,930 $643K
2023 21,263 $657K
2024 15,920 $502K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,152 35,476 $1.52M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,142 14,307 $941K
90460 Immunization administration through 18 years of age via any route, first or only component 27,666 23,271 $844K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,835 9,324 $543K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,014 8,549 $456K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,190 6,855 $385K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,191 4,013 $249K
99051 6,857 6,444 $138K
99381 1,215 1,111 $76K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,272 5,859 $70K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,377 6,117 $58K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,042 1,946 $48K
96127 4,284 4,019 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,355 1,253 $24K
99188 1,515 1,450 $23K
D1206 Topical application of fluoride varnish 1,661 1,610 $22K
99215 Prolong outpt/office vis 194 182 $16K
92552 1,021 973 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 748 680 $10K
94010 301 289 $6K
69210 253 225 $6K
96161 2,123 1,748 $6K
92583 191 184 $4K
92551 389 358 $2K
90633 3,169 2,993 $2K
99173 826 759 $2K
90670 7,210 6,882 $1K
99177 161 147 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 70 68 $815.45
99382 13 13 $689.67
90686 7,792 7,349 $678.72
90671 1,072 990 $540.50
90710 1,006 942 $450.70
D1208 Topical application of fluoride, excluding varnish 30 29 $441.00
A4617 Mouth piece 510 481 $431.44
90698 4,564 4,393 $427.71
90620 166 157 $359.52
90697 1,434 1,324 $199.41
90472 Immunization administration, each additional vaccine (list separately) 13 12 $175.83
90680 4,768 4,548 $171.85
96160 139 115 $158.30
90744 2,692 2,567 $153.61
J1100 Injection, dexamethasone sodium phosphate, 1 mg 425 407 $124.45
90651 1,415 1,320 $113.22
J0696 Injection, ceftriaxone sodium, per 250 mg 30 29 $54.75
90619 315 288 $50.53
90685 633 580 $35.75
90734 734 673 $14.24
J8540 Dexamethasone, oral, 0.25 mg 17 16 $7.54
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 14 14 $3.22
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 56 54 $2.07
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 14 14 $0.84
91300 16 15 $0.00
90707 174 166 $0.00
90700 134 119 $0.00
90715 172 156 $0.00
90648 67 56 $0.00
90716 161 146 $0.00
91307 35 35 $0.00
90696 186 168 $0.00