Physician
Complete Pediatrics and Specialty Care
Complete Pediatrics and Specialty Care was paid $1.45M by Medicaid between Sep 2019 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoCOMPLETE PEDIATRICS AND SPECIALTY CARE
NEW ALBANY, IN 47150
NEW ALBANY, IN 47150
33aNPI1902469034assigned 04/15/2019
33bProvider typePediatrics Physician
28Total paid$1.45M
24GClaims35,237
24DCodes billed29
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#25 of 119
Median peer was paid$395K
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2019 | 2,588 | $88K | |
| 2020 | 7,593 | $245K | |
| 2021 | 7,270 | $283K | |
| 2022 | 6,856 | $306K | |
| 2023 | 6,194 | $303K | |
| 2024incomplete | 4,736 | $225K |
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 | 43% | 11,641 | 9,861 | $628K |
| 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 | 20% | 4,156 | 3,575 | $292K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,159 | 1,909 | $155K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 1,920 | 1,749 | $137K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.4% | 4,924 | 4,463 | $63K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.4% | 2,905 | 2,668 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 726 | 666 | $49K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 416 | 371 | $19K |
| 99460 | 1.0% | 250 | 225 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 215 | 182 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 285 | 228 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 320 | 210 | $6K |
17 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 421 | $4K |
| 90474 | <1% | 317 | $4K | |
| 99462 | <1% | 160 | $3K | |
| 99000 | <1% | 362 | $858.89 | |
| 87807 | <1% | 48 | $336.45 | |
| 90670 | <1% | 980 | $188.26 | |
| 90710 | <1% | 88 | $173.00 | |
| 90680 | <1% | 340 | $167.62 | |
| 90688 | <1% | 1,099 | $161.17 | |
| 90744 | <1% | 178 | $119.75 | |
| 90633 | 0% | 65 | $0.00 | |
| 90671 | 0% | 77 | $0.00 | |
| 99072 | 0% | 433 | $0.00 | |
| 90698 | 0% | 523 | $0.00 | |
| 90697 | 0% | 155 | $0.00 | |
| 90677 | 0% | 56 | $0.00 | |
| 90651 | 0% | 18 | $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 officialREZAEI, LALEH (OWNER)