Clinic
Shadyside Clinic, LLC
Shadyside Clinic, LLC was paid $346K by Medicaid between Jan 2018 and Jul 2022, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoSHADYSIDE CLINIC, LLC
SHADYSIDE, OH 43947
SHADYSIDE, OH 43947
33aNPI1093183204assigned 09/03/2015
33bProvider typePrimary Care Clinic/Center
28Total paid$346K
24GClaims8,249
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Primary Care Clinic/Center providers in Ohio
Rank by total paid#28 of 118
Median peer was paid$67K
This provider vs. median5.2×
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.
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 | 2,413 | $101K | |
| 2019 | 1,551 | $64K | |
| 2020 | 1,694 | $76K | |
| 2021 | 1,689 | $70K | |
| 2022 | 902 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 55% | 3,376 | 2,940 | $191K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 3,286 | 2,835 | $128K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.8% | 202 | 199 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 349 | 300 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 173 | 109 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 732 | 712 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | 15 | $1K |
| 90756 | <1% | 32 | 32 | $678.61 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 58 | 56 | $632.67 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | 25 | $332.91 |
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 officialTWAROG, LINDSAY (NURSE PRACTITIONER AND OWNER)