Physician
Lodi Community Care Center
Lodi Community Care Center was paid $344K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoLODI COMMUNITY CARE CENTER
LODI, OH 44254
LODI, OH 44254
33aNPI1003849910assigned 07/07/2006
33bProvider typeInternal Medicine Physician
28Total paid$344K
24GClaims19,252
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#112 of 663
Median peer was paid$17K
This provider vs. median20×
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 | 1,090 | $48K | |
| 2019 | 1,917 | $55K | |
| 2020 | 2,221 | $32K | |
| 2021 | 3,472 | $56K | |
| 2022 | 3,622 | $55K | |
| 2023 | 3,768 | $63K | |
| 2024incomplete | 3,162 | $34K |
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 | 54% | 4,975 | 4,547 | $186K |
| 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 | 44% | 2,733 | 2,571 | $151K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.5% | 90 | 90 | $5K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 19 | 19 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | 14 | $369.38 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 59 | 54 | $229.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 45 | 44 | $51.92 |
| 3074F | 0% | 5,702 | 5,208 | $0.00 | |
| 3078F | 0% | 5,613 | 5,123 | $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 officialWHELAN, THOMAS (PRESIDENT)
Parent organizationLODI COMMUNITY HOSPITAL