Clinic
Mount Carmel Health System
Mount Carmel Health System was paid $403K by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is 95811, — 59% of everything it billed.
33Billing provider infoMOUNT CARMEL HEALTH SYSTEM
COLUMBUS, OH 43213
COLUMBUS, OH 43213
33aNPI1073615456assigned 09/05/2006
33bProvider typeSleep Disorder Diagnostic Clinic/Center
28Total paid$403K
24GClaims1,413
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sleep Disorder Diagnostic Clinic/Center providers in Ohio
Rank by total paid#4 of 12
Median peer was paid$131K
This provider vs. median3.1×
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 | 197 | $69K | |
| 2019 | 97 | $27K | |
| 2020 | 159 | $43K | |
| 2021 | 289 | $144K | |
| 2023 | 352 | $77K | |
| 2024incomplete | 319 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95811 | 59% | 726 | 642 | $239K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 41% | 687 | 599 | $164K |
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 officialPRIDAY, ANDREW (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mount Carmel Health System | Columbus, OH | $66.65M |
| Mount Carmel Health System | Westerville, OH | $42.48M |
| Mount Carmel Health System | Grove City, OH | $14.42M |
| Diley Ridge Medical Center | Canal Winchester, OH | $6.17M |
| Mount Carmel Health System | Columbus, OH | $5.23M |
| Mount Carmel Health System | Columbus, OH | $318K |
| Mount Carmel Health System | Grove City, OH | $180K |
| Mount Carmel Health System | New Albany, OH | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.