Medicaid Provider Spending

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

SOUTHWEST GENERAL MEDICAL GROUP INC

NPI: 1134239676 · CLEVELAND, OH 44130 · Family Medicine Physician · NPI assigned 08/30/2006

$1.79M
Total Medicaid Paid
177,568
Total Claims
150,733
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWAGNER, HEATHER (EXECUTIVE DIRECTOR)
NPI Enumeration Date08/30/2006

Related Entities

Other providers sharing the same authorized official: WAGNER, HEATHER

ProviderCityStateTotal Paid
SOUTHWEST GENERAL MEDICAL GROUP, INC. CLEVELAND OH $337K
SOUTHWEST GENERAL MEDICAL GROUP, INC. STRONGSVILLE OH $35K
SOUTHWEST GENERAL MEDICAL GROUP, INC. STRONGSVILLE OH $27K
SOUTHWEST GENERAL MEDICAL GROUP, INC CLEVELAND OH $6K
SOUTHWEST GENERAL MEDICAL GROUP, INC CLEVELAND OH $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,562 $142K
2019 5,809 $240K
2020 6,610 $241K
2021 7,361 $285K
2022 31,627 $272K
2023 72,519 $333K
2024 50,080 $281K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,931 13,544 $742K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,469 12,356 $596K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,343 3,065 $194K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 848 774 $68K
93970 1,374 1,285 $25K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 339 312 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 471 431 $20K
99223 Prolong inpt eval add15 m 360 335 $20K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 206 184 $16K
97803 864 774 $15K
93971 665 625 $9K
99222 Initial hospital care, per day, moderate complexity 244 227 $8K
99232 Subsequent hospital care, per day, moderate complexity 411 189 $8K
99308 Subsequent nursing facility care, per day, straightforward 478 427 $8K
99233 Prolong inpt eval add15 m 267 117 $7K
99239 Hospital discharge day management, more than 30 minutes 199 186 $5K
81002 1,753 1,208 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 107 101 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 102 98 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 84 71 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 308 267 $2K
76830 Ultrasound, transvaginal 27 25 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 74 71 $1K
99307 159 152 $1K
90837 Psychotherapy, 53 minutes with patient 16 12 $1K
93880 74 71 $922.17
36415 Collection of venous blood by venipuncture 447 403 $874.45
69210 57 53 $834.28
90682 14 14 $817.14
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 18 13 $733.80
93000 53 51 $721.27
83036 Hemoglobin; glycosylated (A1C) 97 95 $683.37
90686 14 14 $257.84
99442 12 12 $197.19
90688 12 12 $186.41
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 14 14 $131.76
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 515 485 $9.80
1101F 19,435 16,764 $0.00
1126F 20,457 17,477 $0.00
3074F 11,251 9,637 $0.00
3008F 20,001 16,825 $0.00
3079F 1,522 1,379 $0.00
3075F 453 404 $0.00
4037F 2,405 2,143 $0.00
3080F 279 244 $0.00
1125F 430 385 $0.00
1170F 15 13 $0.00
3014F 12 12 $0.00
1090F 20,886 18,000 $0.00
3077F 632 554 $0.00
1159F 23,737 19,671 $0.00
3078F 9,147 7,882 $0.00
4040F 1,085 958 $0.00
1160F 381 300 $0.00