Physician
S & J Med., INC.
S & J Med., INC. was paid $340K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoS & J MED., INC.
WARREN, OH 44485
WARREN, OH 44485
33aNPI1083684658assigned 01/25/2006
33bProvider typeInternal Medicine Physician
28Total paid$340K
24GClaims14,155
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#113 of 663
Median peer was paid$17K
This provider vs. median19×
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 | 2,973 | $49K | |
| 2019 | 1,489 | $45K | |
| 2020 | 1,546 | $39K | |
| 2021 | 1,510 | $39K | |
| 2022 | 1,528 | $52K | |
| 2023 | 1,886 | $61K | |
| 2024incomplete | 3,223 | $55K |
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 | 68% | 7,369 | 6,587 | $232K |
| 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 | 26% | 1,631 | 1,517 | $89K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 74 | 72 | $5K |
| 99442 | 1.4% | 231 | 207 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 230 | 195 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 72 | 61 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 108 | 36 | $2K |
| 99441 | <1% | 45 | 41 | $453.60 | |
| 96127 | <1% | 86 | 84 | $323.10 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,345 | 1,167 | $0.00 |
| 3078F | 0% | 1,290 | 1,153 | $0.00 | |
| 3077F | 0% | 64 | 61 | $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 officialKAMER, SUSAN (BILLING CLERK)