Ohio North East Health Systems, INC
Ohio North East Health Systems, INC was paid $14.05M by Medicaid between Jan 2018 and Dec 2024, across 99 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 65% of everything it billed.
WARREN, OH 44484
Next to other Family Medicine Physician 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 | 28,609 | $931K | |
| 2019 | 32,678 | $1.24M | |
| 2020 | 57,077 | $1.83M | |
| 2021 | 155,963 | $2.68M | |
| 2022 | 167,546 | $2.65M | |
| 2023 | 217,433 | $3.05M | |
| 2024incomplete | 95,882 | $1.67M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 65% | 114,913 | 70,868 | $9.07M |
| 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 | 8.4% | 38,947 | 22,256 | $1.18M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.0% | 55,076 | 28,301 | $1.12M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.6% | 35,630 | 12,352 | $780K |
| J2315 | Injection, naltrexone, depot form, 1 mg | 1.3% | 156 | 148 | $181K |
| D1110 | Prophylaxis - adult | 1.2% | 12,542 | 8,322 | $170K |
| 80305 | 1.0% | 26,222 | 13,470 | $141K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 9,527 | 6,112 | $104K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 3,769 | 1,902 | $102K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 13,769 | 9,322 | $96K |
| 90677 | <1% | 339 | 296 | $84K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,518 | 1,510 | $68K |
87 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,570 | $67K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,779 | $61K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,008 | $53K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,029 | $52K |
| D0274 | Bitewings - four radiographic images | <1% | 4,048 | $51K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,000 | $49K |
| D0330 | Panoramic radiographic image | <1% | 3,864 | $45K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,271 | $44K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 16,780 | $40K |
| D1120 | Dental cleaning, child | <1% | 4,386 | $38K |
| G0467 | Community health center visit, returning patient | <1% | 4,012 | $37K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14,727 | $34K |
| D0272 | Bitewings - two radiographic images | <1% | 9,708 | $31K |
| 90686 | <1% | 3,079 | $29K | |
| D1206 | Topical application of fluoride varnish | <1% | 3,454 | $28K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 850 | $28K |
| 81025 | <1% | 6,239 | $23K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 654 | $19K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 676 | $17K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,994 | $17K |
| 90750 | <1% | 134 | $15K | |
| 36416 | <1% | 8,675 | $13K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,923 | $12K |
| 0011A | <1% | 451 | $12K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 333 | $12K |
| 0012A | <1% | 381 | $11K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 442 | $11K |
| 82962 | <1% | 9,821 | $10K | |
| 97803 | <1% | 877 | $10K | |
| 90682 | <1% | 245 | $10K | |
| 99401 | <1% | 603 | $9K | |
| 93000 | <1% | 1,343 | $9K | |
| 90715 | <1% | 547 | $9K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 896 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 942 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 520 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 726 | $5K |
| 0064A | <1% | 107 | $5K | |
| 97802 | <1% | 228 | $4K | |
| 99402 | <1% | 214 | $4K | |
| 81000 | <1% | 1,191 | $1K | |
| 90746 | <1% | 16 | $985.32 | |
| 90673 | <1% | 17 | $954.46 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 178 | $864.89 |
| D2332 | <1% | 18 | $689.58 | |
| 90732 | <1% | 15 | $667.35 | |
| 90656 | <1% | 42 | $637.92 | |
| 90662 | <1% | 35 | $526.76 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 155 | $486.75 |
| D2330 | <1% | 24 | $460.89 | |
| G0008 | Administration of influenza virus vaccine | <1% | 145 | $410.02 |
| 99385 | <1% | 22 | $368.40 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 26 | $352.32 |
| 82043 | <1% | 163 | $262.76 | |
| 81002 | <1% | 190 | $101.21 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 16 | $73.64 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 19 | $33.45 |
| 3044F | <1% | 219 | $20.00 | |
| 3074F | 0% | 24,628 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 29,243 | $0.00 |
| 2001F | 0% | 44,230 | $0.00 | |
| 1111F | 0% | 14,679 | $0.00 | |
| 3048F | 0% | 11,784 | $0.00 | |
| 3075F | 0% | 7,522 | $0.00 | |
| 1034F | 0% | 13,705 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 4,034 | $0.00 |
| 3049F | 0% | 5,771 | $0.00 | |
| 3079F | 0% | 15,102 | $0.00 | |
| 3080F | 0% | 3,159 | $0.00 | |
| 1036F | 0% | 16,070 | $0.00 | |
| 3008F | 0% | 44,214 | $0.00 | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 0% | 110 | $0.00 |
| 1126F | 0% | 829 | $0.00 | |
| 1125F | 0% | 398 | $0.00 | |
| 91301 | 0% | 322 | $0.00 | |
| 1101F | 0% | 49 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 100 | $0.00 |
| 82044 | 0% | 12 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 27,536 | $0.00 |
| 3078F | 0% | 20,235 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 5,640 | $0.00 |
| 3077F | 0% | 6,257 | $0.00 | |
| 4004F | 0% | 15,384 | $0.00 | |
| 3050F | 0% | 1,111 | $0.00 | |
| 1159F | 0% | 1,431 | $0.00 | |
| 3288F | 0% | 49 | $0.00 | |
| 3046F | 0% | 149 | $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
| Provider | Location | Paid |
|---|---|---|
| Ohio North East Health Systems, INC. | Youngstown, OH | $5.40M |
| Ohio North East Health Systems, INC | Newton Falls, OH | $4.95M |
| Ohio North East Health Systems INC | Alliance, OH | $2.73M |
| Ohio North East Health Systems INC | Warren, OH | $1.85M |
| Ohio North East Health Systems, INC | Cortland, OH | $727K |
| Ohio North East Health Systems, INC. | Youngstown, OH | $458K |
| Ohio North East Health Systems INC | Youngstown, OH | $265K |
| Ohio North East Health Systems INC | Warren, OH | $190K |
| Ohio North East Health Systems, INC | Warren, OH | $61K |
| Ohio North East Health Systems, INC. | Warren, OH | $7K |
| Ohio North East Health Systems, INC. | Alliance, OH | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.