Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

INPATIENT MEDICAL SERVICES, INC.

NPI: 1093756314 · HUDSON, OH 44236 · Family Medicine Physician · NPI assigned 06/09/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HOLTZCLAW, STEPHEN controls 19+ related entities in our dataset. Read more

$2.44M
Total Medicaid Paid
112,655
Total Claims
59,241
Beneficiaries
51
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialHOLTZCLAW, STEPHEN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: HOLTZCLAW, STEPHEN

ProviderCityStateTotal Paid
GREATER ROCHESTER IMMEDIATE MEDICAL CARE, PLLC ROCHESTER NY $5.18M
CONNECTICUT POST ACUTE MEDICAL SERVICES 1 PC DERBY CT $5.08M
NEW CENTURY PHYSICIANS OF IOWA PC COUNCIL BLUFFS IA $4.96M
NEW CENTURY PHYSICIANS OF NEBRASKA LLC OMAHA NE $914K
MASSACHUSETTS POST ACUTE MEDICAL SERVICES 1 PC ANNAPOLIS MD $855K
ALABAMA POST-ACUTE MEDICAL SERVICE 1 PC PHENIX CITY AL $749K
NEW CENTURY PHYSICIANS OF NEBRASKA LLC PAPILLION NE $459K
MARYLAND POST ACUTE MEDICAL SERVICES 1 PC ANNAPOLIS MD $94K
EXIGENCE HOSPITALIST MEDICAL SERVICES OF LEWISTON, PLLC LEWISTON NY $64K
DHP OF NORTH CAROLINA PC NEW BERN NC $63K
JAMESTOWN PHYSICIAN SERVICES OF NY PC JAMESTOWN NY $49K
MC HOSPITALISTS PC OWOSSO MI $26K
MARYLAND ANESTHESIA & PAIN MANAGEMENT SERVICES, P.C. BEL AIR MD $23K
HIALEAH ANESTHESIA SPECIALISTS LLC HIALEAH FL $14K
NEW HAMPSHIRE POST ACUTE MEDICAL SERVICES 1 PC NASHUA NH $8K
EMERGENCY MEDICINE OF RACINE SC MOUNT PLEASANT WI $869.54
DHP OF PIEDMONT PC FAYETTEVILLE GA $633.60
IPC HOSPITALISTS OF NEW ENGLAND PC SPRINGFIELD MA $468.82
PORTLAND ANESTHESIA SPECIALISTS LLC PORTLAND OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,977 $332K
2019 25,135 $561K
2020 41,540 $845K
2021 19,038 $461K
2022 9,965 $238K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 64,381 21,682 $1.52M
99239 Hospital discharge day management, more than 30 minutes 8,478 7,924 $198K
99232 Subsequent hospital care, per day, moderate complexity 12,690 5,484 $189K
99223 Prolong inpt eval add15 m 4,777 4,434 $173K
99220 2,164 1,997 $87K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,954 1,786 $69K
99222 Initial hospital care, per day, moderate complexity 902 868 $35K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,191 1,169 $31K
99205 Prolong outpt/office vis 781 685 $28K
99217 1,386 1,305 $26K
99244 Office or other outpatient consultation, moderate to high complexity 516 514 $24K
99238 Hospital discharge day management, 30 minutes or less 706 656 $15K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 244 128 $12K
99215 Prolong outpt/office vis 417 344 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity 599 335 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 192 185 $3K
99226 132 77 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 181 175 $1K
99221 45 42 $1K
99219 27 25 $1K
99497 220 121 $737.59
99292 17 12 $609.94
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $387.22
99242 13 13 $265.43
99218 13 13 $260.11
99498 31 14 $162.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 14 14 $43.95
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $32.46
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5,526 5,046 $0.00
G8484 Influenza immunization was not administered, reason not given 863 766 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 1,004 885 $0.00
1124F 536 235 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 286 262 $0.00
G8543 Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given 68 60 $0.00
G8421 Bmi not documented and no reason is given 62 58 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 12 $0.00
G8785 Blood pressure reading not documented, reason not given 102 88 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 126 108 $0.00
4004F 12 12 $0.00
4040F 14 13 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 777 690 $0.00
1123F 633 492 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 30 28 $0.00
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 147 129 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 70 62 $0.00
1101F 14 13 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 12 12 $0.00
G8432 Depression screening not documented, reason not given 28 26 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 53 50 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 170 155 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 12 12 $0.00