Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › SANDUSKY › NORTHERN OHIO MEDICAL SPECIALISTS LLC

NORTHERN OHIO MEDICAL SPECIALISTS LLC

NPI: 1225085855 · SANDUSKY, OH 44870 · Family Medicine Physician · NPI assigned 05/28/2006

$16.36M
Total Medicaid Paid
732,370
Total Claims
562,609
Beneficiaries
210
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFREDERICK, JOSHUA (CEO)
NPI Enumeration Date05/28/2006

Related Entities

Other providers sharing the same authorized official: FREDERICK, JOSHUA

ProviderCityStateTotal Paid
NORTHERN OHIO MEDICAL SPECIALISTS, LLC CLYDE OH $80K
NORTHERN OHIO MEDICAL SPECIALISTS, LLC FREMONT OH $399.85

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33,557 $1.06M
2019 54,233 $1.46M
2020 57,002 $1.55M
2021 81,283 $2.33M
2022 103,408 $2.88M
2023 183,531 $3.60M
2024 219,356 $3.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 88,333 73,735 $4.54M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 126,940 106,358 $4.38M
11721 50,731 47,608 $579K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,777 9,165 $439K
99232 Subsequent hospital care, per day, moderate complexity 21,952 7,451 $412K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 21,485 7,488 $405K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,079 7,164 $397K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,924 4,484 $333K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 10,957 4,963 $260K
90837 Psychotherapy, 53 minutes with patient 3,058 1,828 $207K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 15,704 5,989 $197K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,169 2,919 $191K
J2357 Injection, omalizumab, 5 mg 195 110 $190K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,986 1,807 $181K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 10,165 3,577 $172K
99308 Subsequent nursing facility care, per day, straightforward 16,707 10,638 $172K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,450 2,277 $159K
J0585 Injection, onabotulinumtoxina, 1 unit 337 180 $148K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 245 206 $145K
73630 9,190 6,786 $141K
99223 Prolong inpt eval add15 m 2,834 2,564 $131K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,650 1,085 $123K
H1000 Prenatal care, at-risk assessment 1,228 981 $107K
90834 Psychotherapy, 45 minutes with patient 2,317 1,719 $104K
97113 2,577 711 $103K
17110 2,194 1,654 $102K
76830 Ultrasound, transvaginal 1,509 1,402 $98K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,352 1,271 $94K
99233 Prolong inpt eval add15 m 3,173 1,517 $87K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 744 350 $86K
29580 4,425 2,316 $84K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,093 973 $69K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,158 1,747 $61K
11056 3,132 2,915 $58K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,691 2,305 $56K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,412 1,208 $47K
L3020 Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each 482 227 $46K
76801 601 519 $42K
20550 1,390 1,100 $42K
59025 Fetal non-stress test 1,851 550 $41K
11720 7,381 6,945 $40K
99235 493 411 $38K
59430 392 339 $38K
81025 5,794 5,037 $35K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,439 2,040 $34K
99239 Hospital discharge day management, more than 30 minutes 1,422 1,275 $33K
95117 3,697 1,906 $31K
64612 301 277 $30K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,469 1,713 $29K
76942 830 663 $27K
99205 Prolong outpt/office vis 304 293 $27K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 624 582 $26K
92557 1,093 987 $26K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 496 439 $26K
76882 1,687 1,261 $25K
97162 510 438 $24K
99215 Prolong outpt/office vis 425 368 $23K
95816 283 259 $23K
97535 Self-care/home management training, each 15 minutes 1,529 1,133 $23K
99238 Hospital discharge day management, 30 minutes or less 792 649 $23K
87210 5,594 4,829 $23K
99222 Initial hospital care, per day, moderate complexity 565 516 $22K
95886 405 350 $21K
92567 2,104 1,954 $21K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 319 305 $21K
92015 Determination of refractive state 1,444 1,305 $21K
59410 26 25 $17K
73610 1,013 785 $15K
64616 280 257 $14K
59514 21 15 $14K
11045 665 289 $13K
81002 7,860 6,064 $12K
95911 130 116 $12K
L3030 Foot, insert, removable, formed to patient foot, each 186 85 $11K
99201 602 573 $11K
29581 446 262 $10K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 68 65 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 266 236 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 986 527 $9K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 177 170 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,166 1,117 $9K
H1003 Prenatal care, at-risk enhanced service; education 611 486 $9K
29540 370 332 $9K
83036 Hemoglobin; glycosylated (A1C) 1,892 1,794 $9K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 661 545 $8K
54150 130 119 $7K
11055 617 570 $7K
36415 Collection of venous blood by venipuncture 3,237 2,979 $7K
20606 121 95 $7K
95912 80 63 $7K
90791 Psychiatric diagnostic evaluation 83 68 $5K
92340 Fitting of spectacles, except for aphakia; monofocal 260 253 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 244 218 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 94 94 $5K
95024 205 184 $5K
99307 1,410 1,115 $5K
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 125 73 $5K
11719 2,370 2,221 $5K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 45 38 $5K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 128 80 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 173 160 $5K
99335 202 193 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 200 164 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 199 164 $4K
20611 78 50 $4K
99442 278 221 $4K
77067 Screening mammography, bilateral, including computer-aided detection 83 77 $4K
90832 Psychotherapy, 30 minutes with patient 95 52 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 71 70 $4K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 30 26 $4K
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 24 24 $4K
94060 265 254 $3K
99385 44 39 $3K
77063 Screening digital breast tomosynthesis, bilateral 83 77 $3K
11102 92 78 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,353 1,851 $3K
96133 27 26 $3K
96132 40 39 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 541 471 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 38 36 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 41 40 $3K
V5266 Battery for use in hearing device 359 344 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 79 77 $2K
97164 84 75 $2K
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass 228 120 $2K
80053 Comprehensive metabolic panel 261 254 $2K
73562 124 84 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 57 43 $2K
29405 48 25 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 157 141 $2K
84443 Thyroid stimulating hormone (TSH) 149 147 $2K
92587 80 77 $1K
90674 76 69 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 24 17 $1K
10061 15 13 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 280 81 $1K
99306 Prolong nursin fac eval 15m 42 37 $1K
94729 266 258 $1K
80061 Lipid panel 140 138 $1K
L4396 Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 13 12 $1K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 13 13 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 70 69 $1K
87220 412 383 $990.63
71046 Radiologic examination, chest; 2 views 55 52 $969.27
93923 12 12 $964.18
A5512 For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each 17 12 $920.75
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $884.58
11100 28 26 $794.42
11750 15 12 $789.70
97605 39 12 $713.01
92083 43 41 $705.34
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 50 33 $672.16
85025 Blood count; complete (CBC), automated, and automated differential WBC count 134 129 $649.23
11900 25 24 $628.18
99334 34 27 $619.17
11043 17 14 $609.88
81003 455 381 $607.73
20610 16 14 $572.60
90688 39 39 $568.92
99348 59 42 $550.86
96127 174 165 $532.17
92133 52 51 $522.00
96160 222 186 $509.93
96116 14 14 $474.54
74018 67 58 $422.69
93000 52 46 $410.99
87807 56 47 $407.25
73620 36 29 $406.71
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 19 18 $343.12
80305 37 25 $326.34
99221 14 13 $312.16
97597 27 12 $304.35
A6530 Gradient compression stocking, below knee, 18-30 mmhg, each 18 13 $281.32
95251 13 12 $257.67
99324 24 24 $248.63
73030 14 13 $211.45
73560 16 12 $151.69
85027 29 29 $147.37
82962 94 92 $138.27
J1030 Injection, methylprednisolone acetate, 40 mg 16 12 $109.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg 451 341 $104.97
99441 12 12 $104.72
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 60 27 $74.94
94726 26 26 $74.22
76514 12 12 $66.09
G0127 Trimming of dystrophic nails, any number 39 36 $58.24
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) 569 524 $49.67
82043 15 13 $33.24
99024 1,117 491 $23.55
A4208 Syringe with needle, sterile 3 cc, each 39 37 $9.71
J1050 Injection, medroxyprogesterone acetate, 1 mg 619 575 $6.84
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 50 42 $1.16
A4206 Syringe with needle, sterile, 1 cc or less, each 14 12 $0.23
1160F 9,848 9,024 $0.00
1159F 13,753 12,544 $0.00
3078F 24,602 19,693 $0.00
3077F 402 321 $0.00
0518F 14 14 $0.00
A6457 Tubular dressing with or without elastic, any width, per linear yard 14 14 $0.00
1000F 53,867 43,311 $0.00
3075F 2,152 1,710 $0.00
3008F 46,409 37,654 $0.00
4010F 2,221 1,565 $0.00
3074F 31,996 25,275 $0.00
3079F 9,593 7,575 $0.00
2000F 523 398 $0.00
4000F 3,620 2,821 $0.00
0503F 153 129 $0.00
A4215 Needle, sterile, any size, each 25 24 $0.00
99305 13 13 $0.00