Wooster Clinic, LLC
Wooster Clinic, LLC was paid $6.95M by Medicaid between Jan 2018 and Dec 2024, across 109 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
WOOSTER, OH 44691
Next to other Multi-Specialty Clinic/Center providers in Ohio
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 29,184 | $970K | |
| 2019 | 35,826 | $1.05M | |
| 2020 | 26,813 | $687K | |
| 2021 | 39,165 | $884K | |
| 2022 | 50,381 | $975K | |
| 2023 | 56,065 | $1.22M | |
| 2024incomplete | 43,005 | $1.16M |
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 | 44% | 77,550 | 70,234 | $3.03M |
| 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 | 36% | 46,547 | 43,255 | $2.53M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 2,479 | 2,344 | $139K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.7% | 4,295 | 1,864 | $116K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.6% | 5,739 | 4,960 | $112K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 1,891 | 1,159 | $88K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 2,590 | 2,340 | $79K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 1,543 | 1,440 | $76K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 9,174 | 8,756 | $72K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 24,267 | 20,433 | $70K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 997 | 609 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 782 | 764 | $44K |
97 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 971 | $43K |
| 80053 | Comprehensive metabolic panel | <1% | 5,491 | $38K |
| 99243 | <1% | 750 | $37K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 939 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,140 | $34K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,625 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 427 | $26K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,979 | $25K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,347 | $24K |
| 76642 | <1% | 312 | $17K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 222 | $17K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 282 | $14K |
| 11721 | <1% | 1,111 | $14K | |
| 85027 | <1% | 2,853 | $14K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 288 | $11K |
| 90688 | <1% | 864 | $9K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 97 | $8K |
| 76830 | Ultrasound, transvaginal | <1% | 155 | $7K |
| 81025 | <1% | 1,152 | $7K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,306 | $7K |
| 96127 | <1% | 1,569 | $7K | |
| 99442 | <1% | 325 | $6K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,014 | $6K |
| 76813 | <1% | 126 | $6K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 285 | $6K |
| 76801 | <1% | 175 | $5K | |
| 83735 | <1% | 1,218 | $5K | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,164 | $5K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 95 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 71 | $4K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 41 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 126 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 170 | $4K |
| 94060 | <1% | 109 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 44 | $3K |
| 94010 | <1% | 192 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 64 | $3K |
| 92015 | Determination of refractive state | <1% | 152 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 341 | $2K |
| 73630 | <1% | 142 | $2K | |
| 99441 | <1% | 213 | $2K | |
| 59025 | Fetal non-stress test | <1% | 65 | $2K |
| 72100 | <1% | 66 | $1K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 86 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 159 | $1K |
| 0001A | <1% | 15 | $1K | |
| 77065 | Tomosynthesis, mammo | <1% | 25 | $968.25 |
| 93000 | <1% | 77 | $847.93 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 14 | $826.68 |
| 20610 | <1% | 12 | $662.29 | |
| 99443 | <1% | 24 | $633.00 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 35 | $573.37 |
| 82950 | <1% | 203 | $564.93 | |
| 93922 | <1% | 13 | $559.63 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 14 | $554.60 |
| 97161 | <1% | 12 | $514.68 | |
| 97803 | <1% | 14 | $476.23 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 56 | $474.46 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 14 | $464.85 |
| 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% | 729 | $454.97 |
| 81003 | <1% | 310 | $426.24 | |
| 99173 | <1% | 160 | $375.48 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 55 | $349.46 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 15 | $310.81 |
| 51798 | <1% | 35 | $296.90 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 28 | $278.99 |
| 90670 | <1% | 158 | $253.45 | |
| 80076 | <1% | 44 | $241.30 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 15 | $234.83 |
| 90474 | <1% | 177 | $229.54 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 14 | $148.49 |
| 87905 | <1% | 13 | $141.42 | |
| 96161 | <1% | 60 | $140.94 | |
| 11055 | <1% | 12 | $133.66 | |
| 90658 | <1% | 27 | $130.90 | |
| 90672 | <1% | 32 | $112.88 | |
| 84439 | <1% | 13 | $95.54 | |
| 90686 | <1% | 555 | $93.22 | |
| 92551 | <1% | 12 | $88.78 | |
| 81000 | <1% | 39 | $72.55 | |
| 83615 | <1% | 16 | $52.80 | |
| 81002 | <1% | 36 | $44.35 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 61 | $36.53 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 13 | $1.45 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 12 | $1.44 |
| 91300 | <1% | 16 | $0.11 | |
| 3079F | 0% | 6,656 | $0.00 | |
| 3074F | 0% | 32,070 | $0.00 | |
| 3075F | 0% | 282 | $0.00 | |
| 3080F | 0% | 67 | $0.00 | |
| 90698 | 0% | 142 | $0.00 | |
| 90656 | 0% | 13 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 3078F | 0% | 22,683 | $0.00 | |
| 90461 | 0% | 63 | $0.00 | |
| 3077F | 0% | 77 | $0.00 | |
| 90633 | 0% | 12 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.