Kids.Healthcare PC

Kids.Healthcare PC was paid $4.81M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoKIDS.HEALTHCARE PC
FORT WAYNE, IN 46825

33aNPI1821459413assigned 03/10/2016

33bProvider typePediatrics Physician

28Total paid$4.81M

24GClaims165,972

24DCodes billed75

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Indiana

Rank by total paid#5 of 119

Median peer was paid$395K

This provider vs. median12×

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	17,552	$450K
2019	23,257	$609K
2020	21,981	$561K
2021	23,557	$712K
2022	27,784	$841K
2023	27,096	$795K
2024incomplete	24,745	$842K

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	31%	25,153	19,669	$1.49M
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	22%	13,122	11,150	$1.08M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.0%	5,142	4,611	$432K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	8.0%	4,821	4,117	$385K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.0%	3,440	3,227	$291K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	3.2%	5,225	4,576	$152K
90472	Immunization administration, each additional vaccine (list separately)	2.9%	7,587	6,634	$141K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.6%	8,426	3,681	$123K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.0%	1,120	1,070	$97K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.6%	8,733	7,603	$77K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.4%	11,865	10,507	$67K
92583		1.4%	2,065	1,917	$66K

63 more codes

87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.3%	5,462	$65K
99177		<1%	12,386	$43K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	2,447	$39K
92552		<1%	1,974	$37K
99381		<1%	364	$28K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	1,022	$25K
90473		<1%	2,668	$24K
99215	Doctor's office visit, returning patient (complex)	<1%	174	$19K
83655		<1%	1,828	$18K
92551		<1%	1,993	$14K
96127		<1%	3,586	$12K
87807		<1%	971	$9K
36416		<1%	2,107	$7K
A7010	Corrugated tubing, disposable, used with large volume nebulizer, 100 feet	<1%	427	$6K
80061	Lipid panel	<1%	685	$6K
90837	Psychotherapy session, about an hour	<1%	76	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	132	$5K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	418	$5K
83026		<1%	2,167	$4K
96161		<1%	1,954	$4K
90670		<1%	3,500	$4K
0071A		<1%	112	$3K
99460		<1%	42	$3K
0072A		<1%	79	$3K
99383		<1%	26	$2K
83036	Hemoglobin; glycosylated (A1C)	<1%	279	$2K
71046	Radiologic examination, chest; 2 views	<1%	77	$2K
81002		<1%	710	$2K
90651		<1%	301	$1K
90716		<1%	1,409	$1K
90698		<1%	3,172	$1K
90686		<1%	2,569	$1K
90680		<1%	2,717	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	58	$825.39
99238	Hospital discharge day management, 30 minutes or less	<1%	16	$788.45
G0312	Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)	<1%	35	$643.40
90707		<1%	1,406	$635.98
96380		<1%	40	$570.00
A7015	Aerosol mask, used with dme nebulizer	<1%	421	$532.85
0002A		<1%	49	$531.02
90633		<1%	2,400	$505.54
74018		<1%	25	$467.00
94761		<1%	225	$460.46
90744		<1%	2,325	$241.74
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	14	$214.49
90656		<1%	228	$154.70
90685		<1%	282	$136.29
90734		<1%	271	$105.58
90696		<1%	516	$104.75
90700		<1%	680	$94.32
99188		<1%	12	$92.53
0001A		<1%	20	$75.54
90715		<1%	298	$44.68
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	19	$27.12
90648		<1%	548	$20.89
90677		0%	676	$0.00
91307		0%	200	$0.00
90723		0%	20	$0.00
90619		0%	175	$0.00
90381		0%	18	$0.00
90710		0%	249	$0.00
91300		0%	154	$0.00
90621		0%	59	$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 officialTALLO, CHRISTOPHER (OWNER)