Medicaid Provider Spending

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

HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION

NPI: 1043572290 · MIDDLETOWN, OH 45005 · Physician Assistant · NPI assigned 06/13/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$9.72M
Total Medicaid Paid
348,685
Total Claims
201,984
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFALL, LAURA (MANAGER)
NPI Enumeration Date06/13/2012

Related Entities

Other providers sharing the same authorized official: FALL, LAURA

ProviderCityStateTotal Paid
INPATIENT SPECIALISTS OF CALIFORNIA, PC SAN BERNARDINO CA $32.85M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C. BAKERSFIELD CA $23.48M
T M CARR MD PC MEMPHIS TN $19.29M
SOUTH SOUND INPATIENT PHYSICIANS PLLC ARLINGTON WA $17.61M
HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC SAN JOSE CA $16.34M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC HUMBLE TX $16.31M
COGENT HEALTHCARE OF ARIZONA PC BRENTWOOD TN $15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN SC $14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC KALAMAZOO MI $12.40M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK MD $6.02M
RABESSLER MD PC LAS VEGAS NV $5.09M
SOUND PHYSICIANS OF ILLINOIS, LLC CHICAGO IL $4.98M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC BRENTWOOD TN $4.68M
COGENT HEALTHCARE OF GEORGIA PC MACON GA $4.65M
COGENT HEALTHCARE OF KENTUCKY, PSC LOUISVILLE KY $4.39M
HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC BRONX NY $4.25M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC WHEELING WV $4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC HOBBS NM $4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC TOPEKA KS $3.37M
COGENT HEALTHCARE OF NORTH CAROLINA, PC HIGH POINT NC $3.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 9,148 $330K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 160,020 67,086 $4.21M
99223 Prolong inpt eval add15 m 48,477 43,536 $2.45M
99232 Subsequent hospital care, per day, moderate complexity 67,766 30,298 $1.12M
99239 Hospital discharge day management, more than 30 minutes 41,515 36,950 $1.10M
99220 8,011 7,354 $382K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,592 1,233 $118K
99222 Initial hospital care, per day, moderate complexity 2,440 2,229 $101K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,177 1,842 $65K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,346 1,720 $28K
99308 Subsequent nursing facility care, per day, straightforward 3,631 2,517 $26K
99217 1,092 999 $20K
99349 1,043 895 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 919 768 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 689 586 $16K
99238 Hospital discharge day management, 30 minutes or less 628 560 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 739 613 $11K
99497 2,169 1,649 $11K
99219 126 116 $4K
99226 176 118 $3K
99205 Prolong outpt/office vis 40 27 $1K
99225 64 49 $741.29
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 111 96 $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 102 82 $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 89 63 $539.91
99306 Prolong nursin fac eval 15m 19 16 $531.14
99221 21 20 $420.10
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $214.64
99336 47 24 $129.96
99318 23 15 $102.15
99307 21 12 $18.11
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 280 256 $0.00
1124F 14 13 $0.00
1123F 286 230 $0.00