Physician
Nationwide Children's Hospital
Nationwide Children's Hospital was paid $12.99M by Medicaid between Feb 2023 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoNATIONWIDE CHILDREN'S HOSPITAL
COLUMBUS, OH 43205
COLUMBUS, OH 43205
33aNPI1851179873assigned 09/20/2023
33bProvider typePediatrics Physician
28Total paid$12.99M
24GClaims416,760
24DCodes billed70
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#7 of 401
Median peer was paid$30K
This provider vs. median440×
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 | |
|---|---|---|---|
| 2023 | 37,899 | $1.16M | |
| 2024incomplete | 378,861 | $11.83M |
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 | 41% | 168,116 | 158,063 | $5.36M |
| 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 | 21% | 58,003 | 54,919 | $2.75M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 24,687 | 23,327 | $829K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 23,101 | 21,962 | $681K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 19,016 | 18,171 | $677K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 10,941 | 10,417 | $455K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.9% | 6,315 | 5,954 | $377K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 7,230 | 6,946 | $259K |
| 99188 | 1.9% | 11,006 | 10,284 | $248K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 3,670 | 3,507 | $204K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.5% | 2,983 | 2,866 | $197K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.1% | 2,857 | 1,165 | $141K |
58 more codes
| 99243 | 1.0% | 3,266 | $131K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 2,220 | $117K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 1,129 | $87K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,320 | $66K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,438 | $65K |
| 64643 | <1% | 551 | $48K | |
| 99417 | Prolong home eval add 15m | <1% | 1,555 | $47K |
| 64642 | <1% | 587 | $45K | |
| 99381 | <1% | 823 | $27K | |
| 92015 | Determination of refractive state | <1% | 1,909 | $25K |
| 99245 | <1% | 264 | $22K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,266 | $20K |
| 99205 | Prolong outpt/office vis | <1% | 274 | $20K |
| 92551 | <1% | 2,251 | $14K | |
| 96127 | <1% | 3,216 | $12K | |
| 99384 | <1% | 205 | $9K | |
| 95251 | <1% | 883 | $8K | |
| 31575 | <1% | 202 | $8K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 255 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 175 | $7K |
| 54150 | <1% | 102 | $5K | |
| 17110 | <1% | 169 | $5K | |
| 36512 | <1% | 71 | $4K | |
| 99173 | <1% | 1,634 | $4K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 50 | $4K |
| 99242 | <1% | 86 | $2K | |
| 92060 | <1% | 134 | $2K | |
| 99383 | <1% | 55 | $2K | |
| 92201 | <1% | 80 | $1K | |
| 99382 | <1% | 70 | $1K | |
| 95873 | <1% | 60 | $1K | |
| 90651 | <1% | 262 | $989.16 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $939.62 |
| 97116 | <1% | 31 | $895.25 | |
| 69210 | <1% | 45 | $852.44 | |
| 92504 | <1% | 267 | $655.95 | |
| 90619 | <1% | 533 | $474.18 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 20 | $429.04 |
| 16020 | <1% | 14 | $413.64 | |
| 90656 | <1% | 411 | $187.66 | |
| 92567 | <1% | 14 | $182.14 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 40 | $181.10 |
| 90620 | <1% | 109 | $179.76 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 19 | $166.88 |
| 96161 | <1% | 59 | $120.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $53.68 |
| 90686 | <1% | 115 | $46.94 | |
| 90715 | <1% | 175 | $40.20 | |
| 3074F | 0% | 22,674 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 943 | $0.00 |
| 3044F | 0% | 475 | $0.00 | |
| 3075F | 0% | 62 | $0.00 | |
| 3079F | 0% | 179 | $0.00 | |
| 3078F | 0% | 22,059 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 933 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 26 | $0.00 |
| 3077F | 0% | 14 | $0.00 | |
| 90710 | 0% | 13 | $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 officialWEICHOLD, NELSON (SENIOR VP AND CFO)
| Provider | Location | Paid |
|---|---|---|
| Siu Physicians & Surgeons, INC. | Carbondale, IL | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.