Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOUNT CARMEL HEALTH PROVIDERS III LLC

NPI: 1013942630 · COLUMBUS, OH 43213 · Emergency Medicine Physician · NPI assigned 07/12/2006

$937K
Total Medicaid Paid
28,680
Total Claims
26,836
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialNELSON, NICOLE (REGIONAL DIRECTOR, REV CYCLE OPS)
NPI Enumeration Date07/12/2006

Related Entities

Other providers sharing the same authorized official: NELSON, NICOLE

ProviderCityStateTotal Paid
CROSSROADS COUNSELING & TRAINING SERVICES FAIRBANKS AK $19.13M
MOUNT CARMEL HEALTHPROVIDERS INC COLUMBUS OH $9.49M
MOUNT CARMEL HEALTHPROVIDERS TWO LLC COLUMBUS OH $5.31M
LIMA RADIOLOGICAL ASSOCIATES LIMA OH $1.28M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,174 $235K
2019 5,568 $187K
2020 4,469 $149K
2021 3,671 $121K
2022 3,552 $109K
2023 3,237 $96K
2024 1,009 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,345 9,722 $568K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,253 5,790 $236K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 402 384 $34K
90686 1,102 1,046 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,272 1,211 $20K
36415 Collection of venous blood by venipuncture 7,933 7,400 $16K
99215 Prolong outpt/office vis 192 185 $14K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 211 195 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 60 55 $3K
0064A 29 29 $3K
0134A 59 58 $3K
83036 Hemoglobin; glycosylated (A1C) 441 404 $2K
90677 13 12 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 95 88 $2K
90694 29 27 $735.16
99441 43 40 $482.13
36416 132 123 $255.69
96127 57 55 $216.39
81003 12 12 $29.62