Physician
Pediatric Practice, INC
Pediatric Practice, INC was paid $1.87M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoPEDIATRIC PRACTICE, INC
LAKEWOOD, OH 44107
LAKEWOOD, OH 44107
33aNPI1831307800assigned 05/21/2007
33bProvider typePediatrics Physician
28Total paid$1.87M
24GClaims113,465
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#39 of 401
Median peer was paid$30K
This provider vs. median63×
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 | 12,126 | $221K | |
| 2019 | 17,244 | $318K | |
| 2020 | 13,303 | $261K | |
| 2021 | 15,115 | $280K | |
| 2022 | 17,318 | $286K | |
| 2023 | 19,752 | $264K | |
| 2024incomplete | 18,607 | $244K |
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 | 36% | 15,716 | 14,337 | $677K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 9,196 | 7,051 | $235K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 2,384 | 2,280 | $136K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 2,277 | 2,172 | $127K |
| 92587 | 6.4% | 6,274 | 5,941 | $119K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 1,582 | 1,499 | $96K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 1,647 | 1,540 | $82K |
| 92081 | 4.2% | 4,886 | 4,642 | $79K | |
| 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% | 1,092 | 1,019 | $72K |
| 99441 | 2.4% | 2,955 | 2,769 | $45K | |
| 83655 | 1.5% | 2,747 | 2,612 | $28K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,874 | 1,753 | $23K |
41 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,024 | $22K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 1,533 | $22K |
| 36416 | <1% | 5,842 | $18K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 631 | $15K |
| 85018 | <1% | 7,663 | $15K | |
| 81002 | <1% | 5,819 | $15K | |
| 90686 | <1% | 1,589 | $11K | |
| 90670 | <1% | 1,133 | $8K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 127 | $4K |
| 90651 | <1% | 481 | $4K | |
| 90633 | <1% | 355 | $4K | |
| 90647 | <1% | 634 | $3K | |
| 90672 | <1% | 208 | $3K | |
| 90734 | <1% | 299 | $2K | |
| 90723 | <1% | 479 | $2K | |
| 99173 | <1% | 718 | $1K | |
| 86580 | <1% | 278 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 39 | $1K |
| 90620 | <1% | 39 | $847.30 | |
| 87807 | <1% | 72 | $694.37 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $459.43 |
| 90715 | <1% | 69 | $327.08 | |
| 92551 | <1% | 45 | $278.50 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | $187.50 |
| 90710 | <1% | 48 | $185.45 | |
| 90685 | <1% | 41 | $56.35 | |
| 90681 | <1% | 27 | $50.90 | |
| 90707 | <1% | 27 | $30.00 | |
| 90696 | <1% | 19 | $15.45 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 4,048 | $0.06 |
| 91307 | <1% | 31 | $0.01 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 362 | $0.00 |
| 3008F | 0% | 12,426 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,867 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 5,154 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 452 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 3,397 | $0.00 |
| 90656 | 0% | 120 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 913 | $0.00 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 2,763 | $0.00 |
| 90671 | 0% | 37 | $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 officialBASKAR, GOVIN (PRESIDENT)