Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Cleveland › NPI 1205985967
Physician

Southwest General Medical Group, INC

Southwest General Medical Group, INC was paid $6K by Medicaid between Apr 2019 and Jan 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoSOUTHWEST GENERAL MEDICAL GROUP, INC
CLEVELAND, OH 44130
33aNPI1205985967assigned 01/10/2007
28Total paid$6K
24GClaims828
24DCodes billed10
24AFirst – last monthApr 2019 – Jan 2024
Compared with peers

Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Ohio

Rank by total paid#9 of 13
Median peer was paid$12K
This provider vs. median0.5×

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

$0$250$500$7502018201920202021202220232024
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
YearClaimsPaid
201928$464.68
2020137$2K
2021155$2K
2022117$421.42
2023328$791.66
2024incomplete63$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 75% 285 275 $5K
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 18% 42 39 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.3% 20 17 $200.97
99152 3.0% 30 26 $186.64
99441 1.2% 15 15 $70.80
1125F 0% 72 66 $0.00
3008F 0% 70 63 $0.00
1101F 0% 30 30 $0.00
1159F 0% 121 106 $0.00
1090F 0% 143 130 $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)
Same official

Other billing entities under WAGNER, HEATHER

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.