Physician
Gericare Associates INC
Gericare Associates INC was paid $188K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoGERICARE ASSOCIATES INC
FAIRFIELD, OH 45014
FAIRFIELD, OH 45014
33aNPI1114115102assigned 10/04/2007
33bProvider typeInternal Medicine Physician
28Total paid$188K
24GClaims20,245
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#149 of 663
Median peer was paid$17K
This provider vs. median11×
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 | 3,922 | $28K | |
| 2019 | 3,304 | $37K | |
| 2020 | 3,387 | $31K | |
| 2021 | 3,193 | $32K | |
| 2022 | 2,769 | $29K | |
| 2023 | 2,232 | $18K | |
| 2024incomplete | 1,438 | $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 | 48% | 3,134 | 2,905 | $90K |
| 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 | 15% | 584 | 550 | $28K |
| 99223 | Prolong inpt eval add15 m | 13% | 709 | 628 | $24K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 1,790 | 666 | $21K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.8% | 553 | 411 | $9K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.9% | 596 | 519 | $7K |
| 90756 | 3.2% | 341 | 314 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 226 | 202 | $3K |
| 90661 | <1% | 37 | 36 | $547.34 | |
| G0008 | Administration of influenza virus vaccine | <1% | 71 | 69 | $57.80 |
| 3078F | <1% | 277 | 239 | $4.50 | |
| 3017F | 0% | 1,980 | 1,825 | $0.00 |
13 more codes
| 1036F | 0% | 1,710 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 3,155 | $0.00 |
| 3079F | 0% | 65 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 115 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 40 | $0.00 |
| 3014F | 0% | 48 | $0.00 | |
| 1123F | 0% | 126 | $0.00 | |
| 3075F | 0% | 33 | $0.00 | |
| 4004F | 0% | 1,079 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,926 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,287 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 319 | $0.00 |
| 4040F | 0% | 44 | $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 officialDESAI, SHWETAL (PRESIDENT)