Physician
Ostheimer, Nathan
Ostheimer, Nathan was paid $114K by Medicaid between Jan 2018 and Oct 2018, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoOSTHEIMER, NATHAN
WAYNESBORO, VA 22980
WAYNESBORO, VA 22980
33aNPI1164676284assigned 11/17/2008
33bProvider typePediatrics Physician
28Total paid$114K
24GClaims2,701
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#221 of 817
Median peer was paid$29K
This provider vs. median3.9×
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 | 2,701 | $114K |
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 | 36% | 726 | 671 | $41K |
| 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 | 26% | 364 | 349 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 195 | 186 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.9% | 132 | 126 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 89 | 89 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 47 | 39 | $3K |
| 92551 | 2.6% | 300 | 282 | $3K | |
| 99173 | <1% | 314 | 295 | $711.06 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 45 | 44 | $625.65 |
| 90686 | <1% | 57 | 44 | $516.12 | |
| 90670 | <1% | 30 | 30 | $496.45 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | 13 | $376.52 |
10 more codes
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.