Physician
Mount Carmel Health Providers III LLC
Mount Carmel Health Providers III LLC was paid $937K by Medicaid between Jan 2018 and May 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoMOUNT CARMEL HEALTH PROVIDERS III LLC
COLUMBUS, OH 43213
COLUMBUS, OH 43213
33aNPI1013942630assigned 07/12/2006
33bProvider typeEmergency Medicine Physician
28Total paid$937K
24GClaims28,680
24DCodes billed19
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Ohio
Rank by total paid#49 of 368
Median peer was paid$13K
This provider vs. median73×
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 | 7,174 | $235K | |
| 2019 | 5,568 | $187K | |
| 2020 | 4,469 | $149K | |
| 2021 | 3,671 | $121K | |
| 2022 | 3,552 | $109K | |
| 2023 | 3,237 | $96K | |
| 2024incomplete | 1,009 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 10,345 | 9,722 | $568K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 6,253 | 5,790 | $236K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.7% | 402 | 384 | $34K |
| 90686 | 2.1% | 1,102 | 1,046 | $20K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 1,272 | 1,211 | $20K |
| 36415 | Collection of venous blood by venipuncture | 1.7% | 7,933 | 7,400 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 192 | 185 | $14K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 211 | 195 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 60 | 55 | $3K |
| 0064A | <1% | 29 | 29 | $3K | |
| 0134A | <1% | 59 | 58 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 441 | 404 | $2K |
7 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 officialNELSON, NICOLE (REGIONAL DIRECTOR, REV CYCLE OPS)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.