Physician
Pediatric Associates of Youngstown
Pediatric Associates of Youngstown was paid $2.64M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF YOUNGSTOWN
YOUNGSTOWN, OH 44514
YOUNGSTOWN, OH 44514
33aNPI1811187735assigned 07/26/2007
33bProvider typePediatrics Physician
28Total paid$2.64M
24GClaims107,735
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#28 of 401
Median peer was paid$30K
This provider vs. median89×
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 | 33,107 | $673K | |
| 2019 | 19,422 | $507K | |
| 2020 | 12,989 | $315K | |
| 2021 | 11,613 | $295K | |
| 2022 | 11,243 | $309K | |
| 2023 | 9,734 | $262K | |
| 2024incomplete | 9,627 | $276K |
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 | 38% | 25,000 | 21,993 | $1.01M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 13,853 | 9,383 | $323K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 4,721 | 4,302 | $248K |
| 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 | 7.8% | 3,159 | 2,897 | $206K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 3,830 | 3,563 | $202K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 4,408 | 3,567 | $193K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 2,019 | 1,837 | $116K |
| 92552 | 3.0% | 7,228 | 6,502 | $78K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 9,573 | 8,507 | $69K |
| 99460 | 2.5% | 1,090 | 922 | $65K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.0% | 1,076 | 916 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,270 | 1,162 | $26K |
28 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,829 | $21K |
| 83655 | <1% | 904 | $9K | |
| 99462 | <1% | 331 | $8K | |
| 99173 | <1% | 2,444 | $5K | |
| 36416 | <1% | 2,012 | $4K | |
| 90670 | <1% | 3,557 | $3K | |
| 90633 | <1% | 1,523 | $3K | |
| 85018 | <1% | 1,784 | $3K | |
| 81002 | <1% | 1,479 | $3K | |
| 90698 | <1% | 3,918 | $3K | |
| 96127 | <1% | 640 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 98 | $2K |
| 90680 | <1% | 1,925 | $1K | |
| 90651 | <1% | 610 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 682 | $1K |
| 90744 | <1% | 1,370 | $1K | |
| 90734 | <1% | 582 | $581.60 | |
| 90658 | <1% | 1,974 | $449.98 | |
| 90655 | <1% | 587 | $356.00 | |
| 90707 | <1% | 249 | $244.75 | |
| 90716 | <1% | 233 | $181.75 | |
| 90715 | <1% | 122 | $121.60 | |
| 90710 | <1% | 288 | $100.00 | |
| 90696 | <1% | 255 | $80.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 14 | $19.67 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 456 | $0.00 |
| 90461 | 0% | 440 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 202 | $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 officialHABO, KHALID (OWNER)