Primary Health Partners, INC.

Primary Health Partners, INC. was paid $39K by Medicaid between Jan 2018 and Jan 2024, across 11 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 21% of everything it billed.

33Billing provider infoPRIMARY HEALTH PARTNERS, INC.
HILLSBORO, OH 45133

33aNPI1043427966assigned 05/17/2007

33bProvider typePrimary Care Clinic/Center

28Total paid$39K

24GClaims1,865

24DCodes billed11

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Ohio

Rank by total paid#70 of 118

Median peer was paid$67K

This provider vs. median0.6×

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	551	$12K
2019	397	$7K
2020	237	$5K
2021	314	$6K
2022	179	$3K
2023	126	$4K
2024incomplete	61	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	21%	271	260	$8K
99220		18%	208	195	$7K
99217		15%	395	352	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	515	298	$6K
99239	Hospital discharge day management, more than 30 minutes	9.2%	195	189	$4K
99235		8.0%	59	56	$3K
99222	Initial hospital care, per day, moderate complexity	6.8%	79	75	$3K
99219		5.2%	80	68	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	13	12	$294.06
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	37	24	$267.57
99225		<1%	13	12	$158.61

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 officialWETHERINGTON, ANTHONY (PRESIDENT)