Medicaid Provider Spending

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

SPECIALTY MEDICINE CARE, LLC

NPI: 1043246630 · BEAVERCREEK, OH 45431 · Gastroenterology Physician · NPI assigned 06/24/2006

$143K
Total Medicaid Paid
4,382
Total Claims
3,858
Beneficiaries
19
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialTYNER, TROY (PRESIDENT)
Parent OrganizationINTERNAL MEDICINE CARE, INC
NPI Enumeration Date06/24/2006

Related Entities

Other providers sharing the same authorized official: TYNER, TROY

ProviderCityStateTotal Paid
INTERNAL MEDICINE CARE, INC BEAVERCREEK OH $827K
FAMILY MEDICINE CARE, LLC BEAVERCREEK OH $299K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,863 $62K
2019 1,357 $47K
2020 511 $18K
2021 573 $13K
2022 78 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 962 905 $55K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 658 623 $33K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 184 178 $19K
99232 Subsequent hospital care, per day, moderate complexity 580 307 $12K
99233 Prolong inpt eval add15 m 174 109 $6K
99254 82 77 $6K
82962 1,195 1,134 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52 48 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $2K
95251 85 80 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 24 $1K
99490 Ccm add 20min 209 207 $1K
43235 12 12 $1K
99220 12 12 $1K
99253 13 13 $642.69
99223 Prolong inpt eval add15 m 15 14 $554.74
3074F 19 19 $0.00
1036F 75 66 $0.00
3078F 18 18 $0.00