Logan Pediatrics, INC
Logan Pediatrics, INC was paid $6.63M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoLOGAN PEDIATRICS, INC
LOGAN, WV 25601
LOGAN, WV 25601
33aNPI1720299803assigned 05/24/2007
33bProvider typeSpecialist
28Total paid$6.63M
24GClaims198,497
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in West Virginia
Rank by total paid#4 of 71
Median peer was paid$232K
This provider vs. median29×
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 | 32,017 | $1.14M | |
| 2019 | 15,111 | $540K | |
| 2020 | 29,736 | $899K | |
| 2021 | 29,961 | $954K | |
| 2022 | 34,732 | $1.17M | |
| 2023 | 31,912 | $1.05M | |
| 2024incomplete | 25,028 | $876K |
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 | 43% | 52,535 | 41,501 | $2.86M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 6.6% | 5,661 | 5,125 | $440K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 5,185 | 4,985 | $353K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 5,029 | 4,849 | $341K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 5,356 | 4,671 | $333K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 3,801 | 3,664 | $289K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.2% | 22,490 | 20,774 | $279K |
| 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 | 3.8% | 3,335 | 3,128 | $255K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 10,616 | 10,158 | $159K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.4% | 7,333 | 7,068 | $157K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.2% | 3,384 | 3,032 | $148K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 7,752 | 7,100 | $145K |
59 more codes
| 92552 | 1.7% | 4,845 | $112K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 1,054 | $71K |
| 92587 | 1.0% | 4,210 | $69K | |
| 99173 | <1% | 8,112 | $52K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,099 | $42K |
| 83655 | <1% | 2,655 | $38K | |
| 99188 | <1% | 1,542 | $36K | |
| 90474 | <1% | 2,397 | $28K | |
| 80061 | Lipid panel | <1% | 1,696 | $24K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 354 | $19K |
| 85018 | <1% | 3,602 | $18K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,674 | $18K |
| 99217 | <1% | 300 | $18K | |
| 99460 | <1% | 262 | $17K | |
| 90670 | <1% | 3,633 | $16K | |
| 99383 | <1% | 210 | $16K | |
| 83718 | <1% | 1,447 | $15K | |
| 99462 | <1% | 419 | $15K | |
| 99223 | Prolong inpt eval add15 m | <1% | 140 | $14K |
| 99219 | <1% | 151 | $13K | |
| 99225 | <1% | 217 | $13K | |
| 82947 | <1% | 1,688 | $12K | |
| 90648 | <1% | 2,667 | $12K | |
| 82465 | <1% | 1,511 | $12K | |
| 90686 | <1% | 1,419 | $12K | |
| 99401 | <1% | 276 | $12K | |
| 99381 | <1% | 175 | $11K | |
| 90680 | <1% | 2,367 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 350 | $11K |
| 90633 | <1% | 1,846 | $11K | |
| 90734 | <1% | 1,492 | $9K | |
| 87807 | <1% | 565 | $8K | |
| 90723 | <1% | 1,832 | $8K | |
| 90649 | <1% | 506 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 86 | $7K |
| 92567 | <1% | 333 | $6K | |
| 99220 | <1% | 37 | $5K | |
| 90620 | <1% | 860 | $5K | |
| 81003 | <1% | 320 | $5K | |
| 90715 | <1% | 723 | $4K | |
| 99384 | <1% | 48 | $4K | |
| 90698 | <1% | 632 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 401 | $3K |
| 90700 | <1% | 472 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 34 | $3K |
| 90707 | <1% | 467 | $3K | |
| 90710 | <1% | 706 | $3K | |
| 92551 | <1% | 122 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 71 | $2K |
| 90685 | <1% | 242 | $2K | |
| 90716 | <1% | 429 | $2K | |
| 99382 | <1% | 29 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $774.47 |
| 90696 | <1% | 508 | $758.65 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 19 | $622.89 |
| 90473 | <1% | 13 | $121.89 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 26 | $20.74 |
| 90672 | 0% | 63 | $0.00 | |
| 90651 | 0% | 653 | $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 officialNNACHI, OKPANI (MEDICAL DIRECTOR)