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

Hisey Physician Services, LLC

Hisey Physician Services, LLC was paid $39K by Medicaid between Apr 2024 and Nov 2024, across 7 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 70% of everything it billed.

33Billing provider infoHISEY PHYSICIAN SERVICES, LLC
MIDDLETOWN, OH 45005
33aNPI1073380614assigned 12/05/2023
28Total paid$39K
24GClaims2,720
24DCodes billed7
24AFirst – last monthApr 2024 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Ohio

Rank by total paid#273 of 663
Median peer was paid$17K
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.

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$5.0K$10K2018201920202021202220232024
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
2024incomplete2,720$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 70% 652 641 $27K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 18% 246 105 $7K
99239 Hospital discharge day management, more than 30 minutes 11% 154 148 $4K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 36 25 $363.63
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 415 402 $0.00
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 591 554 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 626 617 $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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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.