NP / PA
Pai Participant 1 LLC
Pai Participant 1 LLC was paid $733K by Medicaid between Apr 2020 and Nov 2024, across 25 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 61% of everything it billed.
33Billing provider infoPAI PARTICIPANT 1 LLC
CHILLICOTHE, OH 45601
CHILLICOTHE, OH 45601
33aNPI1093371312assigned 05/13/2019
33bProvider typePhysician Assistant
28Total paid$733K
24GClaims130,776
24DCodes billed25
24AFirst – last monthApr 2020 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Ohio
Rank by total paid#33 of 176
Median peer was paid$13K
This provider vs. median57×
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 | |
|---|---|---|---|
| 2020 | 4,097 | $4K | |
| 2021 | 8,841 | $25K | |
| 2022 | 31,224 | $134K | |
| 2023 | 55,510 | $279K | |
| 2024incomplete | 31,104 | $290K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 61% | 71,550 | 42,156 | $449K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 29% | 41,936 | 25,286 | $212K |
| 99310 | Prolong nursin fac eval 15m | 5.9% | 5,295 | 3,321 | $43K |
| 99490 | Ccm add 20min | 2.4% | 4,695 | 4,481 | $18K |
| 99307 | <1% | 2,841 | 1,768 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 94 | 89 | $2K |
| 99439 | <1% | 1,645 | 1,540 | $2K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 554 | 512 | $2K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 344 | 297 | $989.13 |
| 99497 | <1% | 284 | 255 | $936.69 | |
| 99318 | <1% | 241 | 232 | $368.62 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 16 | 16 | $248.49 |
13 more codes
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 321 | $1.41 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 109 | $0.00 |
| 1124F | 0% | 27 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 38 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 72 | $0.00 |
| 99487 | Ccm add 20min | 0% | 14 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 80 | $0.00 |
| 96127 | 0% | 162 | $0.00 | |
| 1123F | 0% | 88 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 63 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 223 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 66 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 18 | $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 officialFORD, JILL (AUTHORIZED OFFICAL)
| Provider | Location | Paid |
|---|---|---|
| Monroe County Health Department | Tompkinsville, KY | $229K |
| Pai Participant 9 PA | Elgin, TX | $119K |
| Pai Participant Ma PC | East Boston, MA | $292.09 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.