Physician
Southwest General Medical Group INC
Southwest General Medical Group INC was paid $1.79M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoSOUTHWEST GENERAL MEDICAL GROUP INC
CLEVELAND, OH 44130
CLEVELAND, OH 44130
33aNPI1134239676assigned 08/30/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.79M
24GClaims177,568
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#42 of 739
Median peer was paid$30K
This provider vs. median60×
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 | 3,562 | $142K | |
| 2019 | 5,809 | $240K | |
| 2020 | 6,610 | $241K | |
| 2021 | 7,361 | $285K | |
| 2022 | 31,627 | $272K | |
| 2023 | 72,519 | $333K | |
| 2024incomplete | 50,080 | $281K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 14,931 | 13,544 | $742K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 15,469 | 12,356 | $596K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 4,343 | 3,065 | $194K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.8% | 848 | 774 | $68K |
| 93970 | 1.4% | 1,374 | 1,285 | $25K | |
| 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 | 1.3% | 339 | 312 | $23K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 471 | 431 | $20K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 360 | 335 | $20K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 206 | 184 | $16K |
| 97803 | <1% | 864 | 774 | $15K | |
| 93971 | <1% | 665 | 625 | $9K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 244 | 227 | $8K |
43 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 411 | $8K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 478 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 267 | $7K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 199 | $5K |
| 81002 | <1% | 1,753 | $4K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 107 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 102 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 84 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 308 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 27 | $2K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 14 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 74 | $1K |
| 99307 | <1% | 159 | $1K | |
| 90837 | Psychotherapy session, about an hour | <1% | 16 | $1K |
| 93880 | <1% | 74 | $922.17 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 447 | $874.45 |
| 69210 | <1% | 57 | $834.28 | |
| 90682 | <1% | 14 | $817.14 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 18 | $733.80 |
| 93000 | <1% | 53 | $721.27 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 97 | $683.37 |
| 90686 | <1% | 14 | $257.84 | |
| 99442 | <1% | 12 | $197.19 | |
| 90688 | <1% | 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 | <1% | 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) | <1% | 515 | $9.80 |
| 1101F | 0% | 19,435 | $0.00 | |
| 1126F | 0% | 20,457 | $0.00 | |
| 3074F | 0% | 11,251 | $0.00 | |
| 3008F | 0% | 20,001 | $0.00 | |
| 3079F | 0% | 1,522 | $0.00 | |
| 3075F | 0% | 453 | $0.00 | |
| 4037F | 0% | 2,405 | $0.00 | |
| 3080F | 0% | 279 | $0.00 | |
| 1125F | 0% | 430 | $0.00 | |
| 1170F | 0% | 15 | $0.00 | |
| 3014F | 0% | 12 | $0.00 | |
| 1090F | 0% | 20,886 | $0.00 | |
| 3077F | 0% | 632 | $0.00 | |
| 1159F | 0% | 23,737 | $0.00 | |
| 3078F | 0% | 9,147 | $0.00 | |
| 4040F | 0% | 1,085 | $0.00 | |
| 1160F | 0% | 381 | $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 officialWAGNER, HEATHER (EXECUTIVE DIRECTOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.