Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sinclair Physician Services, LLC

Sinclair Physician Services, LLC was paid $98K by Medicaid between May 2024 and Nov 2024, across 7 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 46% of everything it billed.

33Billing provider infoSINCLAIR PHYSICIAN SERVICES, LLC
DAYTON, OH 45409
33aNPI1063289601assigned 12/05/2023
28Total paid$98K
24GClaims5,769
24DCodes billed7
24AFirst – last monthMay 2024 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Ohio

Rank by total paid#201 of 663
Median peer was paid$17K
This provider vs. median5.7×

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

Paid by month

$0$20K$40K2018201920202021202220232024
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
2024incomplete5,769$98K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 46% 973 956 $46K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 27% 1,022 407 $27K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 17% 998 423 $17K
99239 Hospital discharge day management, more than 30 minutes 9.5% 352 344 $9K
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 1,104 1,015 $0.00
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 425 408 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 895 879 $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 officialFALK, LISHA (VP OF CONTRACTING)
Same official

Other billing entities under FALK, LISHA

Full network →
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ST Mary Emergency Group LLCMorgan City, LA$6.46M
Beckley Emergency Physicians LLCBeckley, WV$6.13M
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.