Physician
CHMC Community Health Services Network
CHMC Community Health Services Network was paid $869K by Medicaid between Jan 2018 and Mar 2021, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoCHMC COMMUNITY HEALTH SERVICES NETWORK
BATESVILLE, IN 47006
BATESVILLE, IN 47006
33aNPI1053464305assigned 01/19/2007
33bProvider typePediatrics Physician
28Total paid$869K
24GClaims24,888
24DCodes billed24
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#37 of 119
Median peer was paid$395K
This provider vs. median2.2×
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 | 7,480 | $267K | |
| 2019 | 7,821 | $270K | |
| 2020 | 7,615 | $251K | |
| 2021 | 1,972 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 9,289 | 7,901 | $387K |
| 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 | 40% | 5,276 | 4,499 | $350K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 3,031 | 2,548 | $29K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.1% | 400 | 354 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 213 | 190 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 184 | 164 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 599 | 482 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 132 | 112 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 448 | 386 | $8K |
| 92551 | <1% | 763 | 656 | $5K | |
| 99000 | <1% | 1,919 | 1,586 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 280 | 238 | $3K |
12 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 85 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 28 | $1K |
| 99177 | <1% | 428 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 70 | $1K |
| 99174 | <1% | 214 | $848.09 | |
| 90686 | <1% | 1,074 | $582.81 | |
| 96127 | <1% | 55 | $202.06 | |
| 90648 | <1% | 28 | $32.41 | |
| 94760 | <1% | 28 | $27.20 | |
| 99051 | 0% | 304 | $0.00 | |
| 90670 | 0% | 12 | $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 officialGUTHRIE, CATHERINE (DIRECTOR MEDICAL STAFF SERVICES)
| Provider | Location | Paid |
|---|---|---|
| Children's Hospital Medical Center | Cincinnati, OH | $11.56M |
| CHMC Community Health Services Network | Mason, OH | $119K |
| CHMC Community Health Services Network | Cincinnati, OH | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.