Physician
Ohio Pediatric Care Alliance Physicians, LLC
Ohio Pediatric Care Alliance Physicians, LLC was paid $5.50M by Medicaid between Jan 2018 and Nov 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoOHIO PEDIATRIC CARE ALLIANCE PHYSICIANS, LLC
SPRINGFIELD, OH 45503
SPRINGFIELD, OH 45503
33aNPI1710308085assigned 01/03/2014
33bProvider typePediatrics Physician
28Total paid$5.50M
24GClaims188,221
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#11 of 401
Median peer was paid$30K
This provider vs. median186×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MILLER, RICHARD controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 15,920 | $502K |
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 | 28% | 38,152 | 35,476 | $1.52M |
| 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 | 17% | 15,142 | 14,307 | $941K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 27,666 | 23,271 | $844K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 9,835 | 9,324 | $543K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 9,014 | 8,549 | $456K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 7,190 | 6,855 | $385K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 4,191 | 4,013 | $249K |
| 99051 | 2.5% | 6,857 | 6,444 | $138K | |
| 99381 | 1.4% | 1,215 | 1,111 | $76K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 6,272 | 5,859 | $70K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 6,377 | 6,117 | $58K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,042 | 1,946 | $48K |
48 more codes
| 96127 | <1% | 4,284 | $25K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,355 | $24K |
| 99188 | <1% | 1,515 | $23K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,661 | $22K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 194 | $16K |
| 92552 | <1% | 1,021 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 748 | $10K |
| 94010 | <1% | 301 | $6K | |
| 69210 | <1% | 253 | $6K | |
| 96161 | <1% | 2,123 | $6K | |
| 92583 | <1% | 191 | $4K | |
| 92551 | <1% | 389 | $2K | |
| 90633 | <1% | 3,169 | $2K | |
| 99173 | <1% | 826 | $2K | |
| 90670 | <1% | 7,210 | $1K | |
| 99177 | <1% | 161 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 70 | $815.45 |
| 99382 | <1% | 13 | $689.67 | |
| 90686 | <1% | 7,792 | $678.72 | |
| 90671 | <1% | 1,072 | $540.50 | |
| 90710 | <1% | 1,006 | $450.70 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 30 | $441.00 |
| A4617 | Mouth piece | <1% | 510 | $431.44 |
| 90698 | <1% | 4,564 | $427.71 | |
| 90620 | <1% | 166 | $359.52 | |
| 90697 | <1% | 1,434 | $199.41 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $175.83 |
| 90680 | <1% | 4,768 | $171.85 | |
| 96160 | <1% | 139 | $158.30 | |
| 90744 | <1% | 2,692 | $153.61 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 425 | $124.45 |
| 90651 | <1% | 1,415 | $113.22 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 30 | $54.75 |
| 90619 | <1% | 315 | $50.53 | |
| 90685 | <1% | 633 | $35.75 | |
| 90734 | <1% | 734 | $14.24 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 17 | $7.54 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 14 | $3.22 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 56 | $2.07 |
| J7614 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg | <1% | 14 | $0.84 |
| 91300 | 0% | 16 | $0.00 | |
| 90707 | 0% | 174 | $0.00 | |
| 90700 | 0% | 134 | $0.00 | |
| 90715 | 0% | 172 | $0.00 | |
| 90648 | 0% | 67 | $0.00 | |
| 90716 | 0% | 161 | $0.00 | |
| 91307 | 0% | 35 | $0.00 | |
| 90696 | 0% | 186 | $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 officialMILLER, RICHARD (PRESIDENT AND CHIEF OPERATING OFFIC)
Parent organizationOHIO PEDIATRIC CARE ALLIANCE, LLC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.