Pediatric cholesterol screening practices in 9- to 11-year-olds in a large midwestern primary care setting.

•The overall pediatric cholesterol screening of one large health system was 4.0%.•Screening rates were steady in time with some increase after guideline publication.•Most clinics and physicians screened 4.0% or fewer of eligible patients.•Providers screening the most eligible patients did so at top screening clinics.•Patient race and ethnicity may be associated with screening.