NP / PA
Mount Carmel Healthproviders Two LLC
Mount Carmel Healthproviders Two LLC was paid $5.31M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoMOUNT CARMEL HEALTHPROVIDERS TWO LLC
COLUMBUS, OH 43213
COLUMBUS, OH 43213
33aNPI1134154750assigned 07/12/2006
33bProvider typeNurse Practitioner
28Total paid$5.31M
24GClaims189,900
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Ohio
Rank by total paid#4 of 168
Median peer was paid$9K
This provider vs. median601×
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 | 34,526 | $940K | |
| 2019 | 25,157 | $719K | |
| 2020 | 24,819 | $740K | |
| 2021 | 25,517 | $755K | |
| 2022 | 27,599 | $755K | |
| 2023 | 29,907 | $772K | |
| 2024incomplete | 22,375 | $631K |
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 | 17% | 25,306 | 21,170 | $880K |
| 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 | 16% | 22,601 | 21,552 | $875K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 13% | 20,077 | 19,039 | $681K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 12% | 13,235 | 5,388 | $658K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.1% | 16,393 | 8,293 | $483K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.6% | 3,836 | 3,618 | $245K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.1% | 27,215 | 22,092 | $167K |
| 95720 | 2.9% | 1,402 | 745 | $154K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 7,265 | 4,230 | $133K |
| 93970 | 2.5% | 6,041 | 5,536 | $132K | |
| 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 | 2.0% | 1,639 | 1,575 | $105K |
| 93000 | 1.8% | 9,638 | 9,058 | $94K |
66 more codes
| 99223 | Prolong inpt eval add15 m | 1.6% | 1,404 | $86K |
| 93971 | 1.6% | 5,554 | $85K | |
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 1,011 | $59K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 2,037 | $48K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,473 | $48K |
| 93356 | <1% | 6,434 | $46K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 920 | $34K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 333 | $30K |
| 62323 | <1% | 342 | $21K | |
| 93298 | <1% | 1,257 | $19K | |
| 95886 | <1% | 708 | $17K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 321 | $16K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,250 | $15K |
| 93296 | <1% | 1,468 | $15K | |
| 95811 | <1% | 208 | $14K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 214 | $13K |
| 99205 | Prolong outpt/office vis | <1% | 149 | $12K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 159 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 237 | $11K |
| 93880 | <1% | 572 | $10K | |
| 76376 | <1% | 2,962 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 738 | $9K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 716 | $9K |
| 90785 | <1% | 933 | $8K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 109 | $7K |
| 92557 | <1% | 249 | $5K | |
| 81025 | <1% | 621 | $4K | |
| 93018 | <1% | 388 | $4K | |
| 64493 | <1% | 99 | $3K | |
| 95816 | <1% | 180 | $3K | |
| 93295 | <1% | 128 | $3K | |
| 92567 | <1% | 280 | $2K | |
| 93294 | <1% | 156 | $2K | |
| 93016 | <1% | 139 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | $2K |
| 93458 | <1% | 12 | $2K | |
| 99385 | <1% | 29 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 40 | $1K |
| 64494 | <1% | 57 | $1K | |
| 95819 | <1% | 66 | $1K | |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 25 | $1K |
| 93321 | <1% | 251 | $934.97 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $910.84 |
| 93299 | <1% | 26 | $869.22 | |
| 93297 | <1% | 73 | $835.92 | |
| 36556 | <1% | 20 | $824.88 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 30 | $760.10 |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $703.81 |
| 93325 | <1% | 304 | $686.12 | |
| 20552 | <1% | 30 | $641.96 | |
| 93308 | <1% | 58 | $615.95 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 46 | $607.40 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $468.27 |
| 94726 | <1% | 74 | $402.34 | |
| 90715 | <1% | 14 | $393.36 | |
| 99152 | <1% | 45 | $339.13 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 54 | $328.88 |
| 94729 | <1% | 79 | $324.89 | |
| 20610 | <1% | 12 | $306.32 | |
| 95822 | <1% | 16 | $259.89 | |
| 77002 | <1% | 13 | $257.60 | |
| 72100 | <1% | 14 | $142.94 | |
| 93922 | <1% | 12 | $132.30 | |
| 94060 | <1% | 15 | $122.70 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 25 | $42.73 |
| 81003 | <1% | 14 | $19.88 |
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 officialNELSON, NICOLE (REGIONAL DIRECTOR, REV CYCLE OPS)
| Provider | Location | Paid |
|---|---|---|
| Crossroads Counseling & Training Services | Fairbanks, AK | $19.13M |
| Mount Carmel Healthproviders INC | Columbus, OH | $9.49M |
| Lima Radiological Associates | Lima, OH | $1.28M |
| Mount Carmel Health Providers III LLC | Columbus, OH | $937K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.