Physician
Specialty Medicine Care, LLC
Specialty Medicine Care, LLC was paid $143K by Medicaid between Jan 2018 and Mar 2022, across 19 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 38% of everything it billed.
33Billing provider infoSPECIALTY MEDICINE CARE, LLC
BEAVERCREEK, OH 45431
BEAVERCREEK, OH 45431
33aNPI1043246630assigned 06/24/2006
33bProvider typeGastroenterology Physician
28Total paid$143K
24GClaims4,382
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Gastroenterology Physician providers in Ohio
Rank by total paid#23 of 59
Median peer was paid$45K
This provider vs. median3.2×
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 | 1,863 | $62K | |
| 2019 | 1,357 | $47K | |
| 2020 | 511 | $18K | |
| 2021 | 573 | $13K | |
| 2022 | 78 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 38% | 962 | 905 | $55K |
| 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 | 23% | 658 | 623 | $33K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 184 | 178 | $19K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.7% | 580 | 307 | $12K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.2% | 174 | 109 | $6K |
| 99254 | 3.9% | 82 | 77 | $6K | |
| 82962 | 1.4% | 1,195 | 1,134 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 52 | 48 | $2K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.1% | 12 | 12 | $2K |
| 95251 | 1.1% | 85 | 80 | $2K | |
| 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 | <1% | 25 | 24 | $1K |
| 99490 | Ccm add 20min | <1% | 209 | 207 | $1K |
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 officialTYNER, TROY (PRESIDENT)
Parent organizationINTERNAL MEDICINE CARE, INC
| Provider | Location | Paid |
|---|---|---|
| Internal Medicine Care, INC | Beavercreek, OH | $827K |
| Family Medicine Care, LLC | Beavercreek, OH | $299K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.