Medicaid Provider Spending

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

PREMIER CARE OF OHIO, LLC

NPI: 1043641293 · COLUMBUS, OH 43215 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 12/12/2013

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

Authorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more

$18.54M
Total Medicaid Paid
975,359
Total Claims
102,803
Beneficiaries
16
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAITHER, CINDY (VP OF REVENUE CYCLE)
NPI Enumeration Date12/12/2013

Related Entities

Other providers sharing the same authorized official: GAITHER, CINDY

ProviderCityStateTotal Paid
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC SCOTTSDALE AZ $43.25M
PREMIER CARE OF INDIANA, INC. MARION IN $33.81M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC WASILLA AK $18.90M
PREMIER CARE OF OHIO LLC CINCINNATI OH $13.13M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC GLENDALE AZ $12.90M
PREMIER CARE OF WISCONSIN, LLC. WEST ALLIS WI $11.15M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC TUCSON AZ $10.72M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC YUMA AZ $10.33M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $8.96M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC FARGO ND $8.90M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $7.83M
PREMIER CARE OF OHIO, LLC. LIMA OH $5.35M
PREMIER CARE OF WISCONSIN, LLC. FOND DU LAC WI $4.91M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC ANCHORAGE AK $4.83M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC LAKE HAVASU CITY AZ $4.60M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC MINOT ND $4.16M
PREMIER CARE OF OHIO LLC KETTERING OH $2.67M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $2.49M
PREMIER CARE OF WISCONSIN, LLC. SOUTH MILWAUKEE WI $1.97M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC BUCKEYE AZ $1.84M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 42,234 $855K
2020 168,198 $3.32M
2021 219,765 $4.03M
2022 224,979 $4.10M
2023 192,344 $3.58M
2024 127,839 $2.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 900,419 38,687 $14.80M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,697 10,475 $1.38M
T1002 Rn services, up to 15 minutes 22,779 19,981 $697K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 10,133 7,463 $494K
T1003 Lpn/lvn services, up to 15 minutes 15,500 13,712 $406K
90832 Psychotherapy, 30 minutes with patient 4,327 3,632 $201K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,839 2,489 $200K
H0006 Alcohol and/or drug services; case management 5,742 4,644 $173K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 940 916 $153K
90834 Psychotherapy, 45 minutes with patient 372 314 $24K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 314 266 $6K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 90 30 $5K
H0001 Alcohol and/or drug assessment 38 38 $3K
90837 Psychotherapy, 53 minutes with patient 27 26 $3K
86803 85 75 $770.40
86780 57 55 $496.50