Physician
Zanesville Pediatrics INC
Zanesville Pediatrics INC was paid $1.54M by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoZANESVILLE PEDIATRICS INC
ZANESVILLE, OH 43701
ZANESVILLE, OH 43701
33aNPI1992003313assigned 03/09/2011
33bProvider typePediatrics Physician
28Total paid$1.54M
24GClaims58,412
24DCodes billed53
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#44 of 401
Median peer was paid$30K
This provider vs. median52×
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 | 8,343 | $252K | |
| 2019 | 8,359 | $237K | |
| 2020 | 7,538 | $195K | |
| 2021 | 9,022 | $242K | |
| 2022 | 10,955 | $265K | |
| 2023 | 9,554 | $223K | |
| 2024incomplete | 4,641 | $123K |
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 | 37% | 12,962 | 11,250 | $569K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 7,606 | 7,180 | $244K |
| 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 | 15% | 3,323 | 3,028 | $226K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 2,563 | 2,457 | $140K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 2,188 | 2,075 | $113K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 939 | 898 | $49K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.0% | 330 | 280 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 464 | 448 | $27K |
| 92583 | 1.7% | 1,166 | 1,135 | $27K | |
| 92552 | <1% | 1,375 | 1,323 | $15K | |
| 99177 | <1% | 1,401 | 1,349 | $13K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 818 | 811 | $12K |
41 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 827 | $10K |
| 96127 | <1% | 1,467 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 481 | $6K |
| 90670 | <1% | 1,539 | $6K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 206 | $5K |
| 90698 | <1% | 986 | $3K | |
| 90686 | <1% | 1,718 | $2K | |
| 90671 | <1% | 28 | $2K | |
| 90716 | <1% | 206 | $2K | |
| 90633 | <1% | 416 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 202 | $1K |
| 90707 | <1% | 207 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 28 | $875.92 |
| 90680 | <1% | 934 | $790.25 | |
| 90651 | <1% | 40 | $777.30 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 14 | $536.93 |
| 90744 | <1% | 417 | $417.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 102 | $379.66 |
| 90620 | <1% | 12 | $237.20 | |
| 90734 | <1% | 26 | $231.38 | |
| 90674 | <1% | 294 | $67.78 | |
| 90696 | <1% | 20 | $40.00 | |
| 90681 | <1% | 26 | $20.00 | |
| 1036F | 0% | 403 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 866 | $0.00 |
| 90660 | 0% | 16 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 348 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 222 | $0.00 |
| 90656 | 0% | 64 | $0.00 | |
| 90697 | 0% | 15 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 122 | $0.00 |
| 90677 | 0% | 15 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 7,428 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,645 | $0.00 |
| 90461 | 0% | 36 | $0.00 | |
| 90700 | 0% | 39 | $0.00 | |
| 90648 | 0% | 113 | $0.00 | |
| 99072 | 0% | 566 | $0.00 | |
| 90672 | 0% | 114 | $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 officialGUPTA, RAJIV (PHYSICIAN)