Peyton Care Professionals, LLC

Peyton Care Professionals, LLC was paid $1.19M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 37% of everything it billed.

33Billing provider infoPEYTON CARE PROFESSIONALS, LLC
MAUMEE, OH 43537

33aNPI1114289626assigned 06/11/2012

33bProvider typeFamily Medicine Physician

28Total paid$1.19M

24GClaims60,013

24DCodes billed20

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Ohio

Rank by total paid#60 of 739

Median peer was paid$30K

This provider vs. median40×

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	13,100	$238K
2019	11,693	$270K
2020	10,796	$220K
2021	8,871	$187K
2022	6,992	$144K
2023	5,833	$89K
2024incomplete	2,728	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	37%	31,112	24,713	$444K
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	23%	6,039	5,199	$270K
99309	Subsequent nursing facility care, per day, low to moderate complexity	20%	12,821	8,384	$243K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.5%	3,671	2,997	$101K
99349		4.2%	1,439	1,281	$50K
99348		2.3%	1,178	1,070	$28K
99305		2.2%	954	858	$26K
G0179	Physician or allowed practitioner re-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	<1%	1,218	1,032	$12K
99347		<1%	854	758	$11K
90674		<1%	106	98	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	157	141	$2K
99318		<1%	27	27	$1K

8 more codes

99306	Prolong nursin fac eval 15m	<1%	63	$1K
90686		<1%	81	$758.17
90661		<1%	40	$526.38
99307		<1%	25	$477.38
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	<1%	128	$457.97
99335		<1%	15	$261.04
99490	Ccm add 20min	<1%	69	$210.97
G0008	Administration of influenza virus vaccine	<1%	16	$6.00

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 officialPEYTON, JOSEPH (OWNER)