Unity Health Network, LLC

Unity Health Network, LLC was paid $3.71M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.

33Billing provider infoUNITY HEALTH NETWORK, LLC
CUYAHOGA FALLS, OH 44224

33aNPI1205169836assigned 09/15/2009

33bProvider typeInternal Medicine Physician

28Total paid$3.71M

24GClaims190,290

24DCodes billed75

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Ohio

Rank by total paid#15 of 663

Median peer was paid$17K

This provider vs. median213×

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	42,863	$784K
2019	38,747	$751K
2020	33,764	$682K
2021	34,299	$716K
2022	23,584	$449K
2023	11,562	$230K
2024incomplete	5,471	$103K

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	17%	16,989	15,298	$615K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	15%	25,580	11,805	$564K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	32,597	12,562	$482K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	18,209	16,214	$464K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	11%	10,212	4,228	$395K
99309	Subsequent nursing facility care, per day, low to moderate complexity	5.9%	15,168	10,487	$217K
99308	Subsequent nursing facility care, per day, straightforward	5.8%	19,632	16,570	$217K
99223	Prolong inpt eval add15 m	3.7%	3,513	3,304	$138K
11721		1.4%	6,159	5,605	$53K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	1.4%	1,076	1,019	$52K
95117		1.2%	6,001	2,550	$45K
99222	Initial hospital care, per day, moderate complexity	1.1%	1,645	1,478	$40K

63 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,896	$35K
99307		<1%	6,275	$35K
99305		<1%	1,612	$31K
99203	Doctor's office visit, new patient (routine)	<1%	821	$30K
99254		<1%	439	$29K
99255		<1%	278	$25K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	813	$23K
95811		<1%	410	$23K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	1,014	$20K
94060		<1%	2,346	$18K
99334		<1%	1,680	$16K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	294	$15K
11720		<1%	3,401	$14K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	<1%	111	$14K
99215	Doctor's office visit, returning patient (complex)	<1%	261	$12K
99204	Doctor's office visit, new patient (more involved)	<1%	225	$10K
92557		<1%	339	$9K
11719		<1%	2,997	$9K
94729		<1%	2,644	$7K
99243		<1%	105	$5K
99335		<1%	425	$5K
20610		<1%	215	$4K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	322	$4K
94727		<1%	1,144	$4K
92567		<1%	331	$4K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	301	$4K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	353	$3K
31575		<1%	48	$3K
95886		<1%	209	$3K
99347		<1%	295	$2K
90961		<1%	39	$2K
99239	Hospital discharge day management, more than 30 minutes	<1%	113	$2K
99336		<1%	146	$2K
94726		<1%	416	$1K
99205	Prolong outpt/office vis	<1%	18	$1K
99318		<1%	83	$1K
17110		<1%	27	$1K
31231		<1%	14	$989.30
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	97	$965.80
99442		<1%	56	$708.71
94375		<1%	112	$643.48
83036	Hemoglobin; glycosylated (A1C)	<1%	128	$618.09
97597		<1%	79	$580.81
73562		<1%	32	$489.28
97162		<1%	14	$442.05
72114		<1%	15	$300.88
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	26	$277.98
95816		<1%	13	$250.59
72170		<1%	32	$248.89
36415	Collection of venous blood by venipuncture	<1%	114	$199.58
99306	Prolong nursin fac eval 15m	<1%	14	$193.89
90686		<1%	14	$171.99
99238	Hospital discharge day management, 30 minutes or less	<1%	13	$135.64
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	29	$87.12
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	12	$78.37
99443		<1%	14	$74.49
82044		<1%	30	$73.96
G0008	Administration of influenza virus vaccine	<1%	15	$41.40
G0127	Trimming of dystrophic nails, any number	<1%	58	$33.46
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	49	$24.83
1125F		0%	13	$0.00
97010		0%	25	$0.00
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)	0%	45	$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 officialTHEISS, KEVIN (VP BUSINESS OPERATIONS)