Physician
Suburban Pediatric Associates INC
Suburban Pediatric Associates INC was paid $699K by Medicaid between Jan 2018 and Dec 2020, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoSUBURBAN PEDIATRIC ASSOCIATES INC
CINCINNATI, OH 45240
CINCINNATI, OH 45240
33aNPI1801945159assigned 01/09/2007
33bProvider typePediatrics Physician
28Total paid$699K
24GClaims20,067
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#74 of 401
Median peer was paid$30K
This provider vs. median24×
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 | 8,068 | $290K | |
| 2019 | 6,160 | $236K | |
| 2020 | 5,839 | $174K |
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 | 52% | 6,087 | 5,625 | $364K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 4,998 | 4,585 | $191K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 2,636 | 2,472 | $75K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 367 | 361 | $21K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 264 | 234 | $13K |
| 99174 | 1.1% | 890 | 854 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 131 | 124 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 555 | 268 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 285 | 280 | $5K |
| 90686 | <1% | 954 | 913 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 228 | 192 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 21 | 15 | $948.60 |
15 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 56 | $697.80 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 48 | $606.98 |
| 92587 | <1% | 26 | $476.53 | |
| 92567 | <1% | 24 | $294.87 | |
| 96127 | <1% | 86 | $289.87 | |
| 90698 | <1% | 152 | $140.00 | |
| 90680 | <1% | 85 | $80.00 | |
| 90670 | <1% | 146 | $50.00 | |
| 85018 | <1% | 18 | $45.72 | |
| 90744 | <1% | 45 | $40.00 | |
| 90685 | <1% | 82 | $40.00 | |
| 81002 | <1% | 13 | $20.32 | |
| 94760 | 0% | 53 | $0.00 | |
| 90461 | 0% | 385 | $0.00 | |
| 99072 | 0% | 1,432 | $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 officialHEYMAN, RICHARD (PHYSICIAN)