NP / PA
Hospitalist Medicine Physicians of Ohio, Professional Corporation
Hospitalist Medicine Physicians of Ohio, Professional Corporation was paid $9.72M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 43% of everything it billed.
33Billing provider infoHOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION
MIDDLETOWN, OH 45005
MIDDLETOWN, OH 45005
33aNPI1043572290assigned 06/13/2012
33bProvider typePhysician Assistant
28Total paid$9.72M
24GClaims348,685
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Ohio
Rank by total paid#6 of 176
Median peer was paid$13K
This provider vs. median753×
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.
Entity ProliferationAuthorized official FALL, LAURA controls 20+ related entities in our dataset. Read more
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 | 75,381 | $1.66M | |
| 2019 | 67,115 | $1.79M | |
| 2020 | 56,936 | $1.63M | |
| 2021 | 53,248 | $1.67M | |
| 2022 | 50,082 | $1.61M | |
| 2023 | 36,775 | $1.03M | |
| 2024incomplete | 9,148 | $330K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 43% | 160,020 | 67,086 | $4.21M |
| 99223 | Prolong inpt eval add15 m | 25% | 48,477 | 43,536 | $2.45M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 67,766 | 30,298 | $1.12M |
| 99239 | Hospital discharge day management, more than 30 minutes | 11% | 41,515 | 36,950 | $1.10M |
| 99220 | 3.9% | 8,011 | 7,354 | $382K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.2% | 2,592 | 1,233 | $118K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.0% | 2,440 | 2,229 | $101K |
| 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% | 2,177 | 1,842 | $65K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 3,346 | 1,720 | $28K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,631 | 2,517 | $26K |
| 99217 | <1% | 1,092 | 999 | $20K | |
| 99349 | <1% | 1,043 | 895 | $19K |
21 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 919 | $17K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 689 | $16K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 628 | $13K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 739 | $11K |
| 99497 | <1% | 2,169 | $11K | |
| 99219 | <1% | 126 | $4K | |
| 99226 | <1% | 176 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 40 | $1K |
| 99225 | <1% | 64 | $741.29 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 111 | $639.81 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 102 | $581.66 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 89 | $539.91 |
| 99306 | Prolong nursin fac eval 15m | <1% | 19 | $531.14 |
| 99221 | <1% | 21 | $420.10 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $214.64 |
| 99336 | <1% | 47 | $129.96 | |
| 99318 | <1% | 23 | $102.15 | |
| 99307 | <1% | 21 | $18.11 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 280 | $0.00 |
| 1124F | 0% | 14 | $0.00 | |
| 1123F | 0% | 286 | $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.
From NPPES
Who's on the registration
Authorized officialFALL, LAURA (MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.