Health Professionals of Holmes County, INC
Health Professionals of Holmes County, INC was paid $416K by Medicaid between Jan 2018 and Oct 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoHEALTH PROFESSIONALS OF HOLMES COUNTY, INC
MILLERSBURG, OH 44654
MILLERSBURG, OH 44654
33aNPI1083897987assigned 12/13/2007
33bProvider typeSpecialist
28Total paid$416K
24GClaims22,533
24DCodes billed43
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Ohio
Rank by total paid#38 of 219
Median peer was paid$46K
This provider vs. median9.1×
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 | 3,355 | $94K | |
| 2019 | 2,315 | $75K | |
| 2020 | 2,430 | $76K | |
| 2021 | 6,967 | $77K | |
| 2022 | 5,822 | $75K | |
| 2023 | 607 | $6K | |
| 2024incomplete | 1,037 | $14K |
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 | 50% | 6,287 | 5,264 | $207K |
| 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 | 35% | 2,912 | 2,502 | $146K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 1,646 | 955 | $24K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.5% | 1,008 | 819 | $10K |
| 99442 | 1.2% | 355 | 238 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 80 | 75 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 81 | 71 | $4K |
| 99490 | Ccm add 20min | <1% | 247 | 211 | $2K |
| 90686 | <1% | 311 | 262 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 131 | 87 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 119 | 95 | $2K |
| 99384 | <1% | 28 | 27 | $2K |
31 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 43 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | $869.82 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 24 | $858.65 |
| 36415 | Collection of venous blood by venipuncture | <1% | 175 | $369.18 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 61 | $333.79 |
| 90734 | <1% | 38 | $328.04 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | $294.09 |
| 96160 | <1% | 256 | $138.71 | |
| 96127 | <1% | 203 | $117.83 | |
| 90648 | <1% | 45 | $76.65 | |
| 81002 | <1% | 33 | $63.30 | |
| 90715 | <1% | 16 | $46.35 | |
| 99307 | <1% | 34 | $33.92 | |
| 90710 | <1% | 14 | $25.45 | |
| 90723 | <1% | 12 | $15.15 | |
| 90670 | <1% | 34 | $10.00 | |
| 3074F | <1% | 104 | $0.24 | |
| 3079F | <1% | 78 | $0.15 | |
| 3078F | <1% | 61 | $0.13 | |
| 3077F | <1% | 19 | $0.06 | |
| 3075F | <1% | 13 | $0.05 | |
| 1000F | 0% | 2,046 | $0.00 | |
| 1036F | 0% | 1,705 | $0.00 | |
| 1034F | 0% | 956 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 448 | $0.00 |
| 3008F | 0% | 16 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 557 | $0.00 |
| 4004F | 0% | 821 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 1,358 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 32 | $0.00 |
| 90461 | 0% | 95 | $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 officialJUSTUS, JASON (CHIEF FINANCIAL OFFICER)
Parent organizationHEALTH PROFESSIONALS OF HOLMES COUNTY, INC
| Provider | Location | Paid |
|---|---|---|
| Health Professionals of Holmes County, INC | Millersburg, OH | $188K |
| Health Professionals of Holmes County, INC | Loudonville, OH | $97K |
| Health Professionals of Holmes County, INC | Millersburg, OH | $51K |
| Health Professionals of Holmes County, INC | Loudonville, OH | $26K |
| Health Professionals of Holmes County, INC | Millersburg, OH | $24K |
| Health Professionals of Holmes County, INC | Berlin, OH | $19K |
| Health Professionals of Holmes County, INC | Millersburg, OH | $13K |
| Health Professionals of Holmes County, INC | Millersburg, OH | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.