Physician
Pediatricare Associates, LLC
Pediatricare Associates, LLC was paid $638K by Medicaid between Jan 2018 and Sep 2021, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoPEDIATRICARE ASSOCIATES, LLC
TOLEDO, OH 43617
TOLEDO, OH 43617
33aNPI1992908651assigned 06/08/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$638K
24GClaims23,022
24DCodes billed21
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Ohio
Rank by total paid#6 of 23
Median peer was paid$84K
This provider vs. median7.6×
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 | 6,697 | $204K | |
| 2019 | 7,107 | $200K | |
| 2020 | 5,530 | $130K | |
| 2021 | 3,688 | $104K |
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 | 50% | 7,997 | 7,560 | $316K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 21% | 5,365 | 4,240 | $136K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10.0% | 1,142 | 1,131 | $64K |
| 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 | 6.5% | 706 | 670 | $42K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 404 | 403 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 377 | 371 | $18K |
| 90686 | 2.8% | 2,423 | 2,413 | $18K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 491 | 489 | $9K |
| 99177 | <1% | 387 | 384 | $4K | |
| 85018 | <1% | 992 | 981 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | 26 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 57 | 57 | $1K |
9 more codes
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 officialROGALSKI, FRANCIS (SENIOR PARTNER)