Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Usacs Integrated Acute Care Services of Ohio, LLC

Usacs Integrated Acute Care Services of Ohio, LLC was paid $2.08M by Medicaid between Jun 2021 and Nov 2024, across 22 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 33% of everything it billed.

33Billing provider infoUSACS INTEGRATED ACUTE CARE SERVICES OF OHIO, LLC
SPRINGFIELD, OH 45504
33aNPI1043805690assigned 03/05/2021
33bProvider typePhysician Assistant
28Total paid$2.08M
24GClaims92,980
24DCodes billed22
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers

Next to other Physician Assistant providers in Ohio

Rank by total paid#16 of 176
Median peer was paid$13K
This provider vs. median161×

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 BAGNOLI, DOMINIC controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20215,997$125K
20229,026$184K
202333,584$607K
2024incomplete44,373$1.16M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 33% 28,149 13,037 $684K
99223 Prolong inpt eval add15 m 32% 14,211 13,373 $666K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 17% 21,786 10,240 $356K
99239 Hospital discharge day management, more than 30 minutes 14% 11,121 10,591 $286K
99222 Initial hospital care, per day, moderate complexity 1.8% 1,217 1,128 $38K
99497 <1% 902 772 $15K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 374 189 $11K
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% 185 177 $6K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 131 118 $4K
99238 Hospital discharge day management, 30 minutes or less <1% 147 141 $3K
99220 <1% 68 65 $3K
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 <1% 57 55 $2K
10 more codes
99203 Doctor's office visit, new patient (routine) <1% 95 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 138 $1K
99226 <1% 15 $417.75
99221 <1% 25 $331.34
99217 <1% 14 $151.06
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 10,237 $106.48
1123F <1% 569 $84.24
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 3,458 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 0% 14 $0.00
1124F 0% 67 $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 officialBAGNOLI, DOMINIC (CHIEF CHAIR)
Same official

Other billing entities under BAGNOLI, DOMINIC

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.