Physician
Northern Ohio Medical Specialists LLC
Northern Ohio Medical Specialists LLC was paid $16.36M by Medicaid between Jan 2018 and Dec 2024, across 210 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoNORTHERN OHIO MEDICAL SPECIALISTS LLC
SANDUSKY, OH 44870
SANDUSKY, OH 44870
33aNPI1225085855assigned 05/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$16.36M
24GClaims732,370
24DCodes billed210
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#6 of 739
Median peer was paid$30K
This provider vs. median552×
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 | 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 | |
| 2024incomplete | 219,356 | $3.46M |
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 | 28% | 88,333 | 73,735 | $4.54M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 126,940 | 106,358 | $4.38M |
| 11721 | 3.5% | 50,731 | 47,608 | $579K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 9,777 | 9,165 | $439K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 21,952 | 7,451 | $412K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.5% | 21,485 | 7,488 | $405K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 10,079 | 7,164 | $397K |
| 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 | 2.0% | 4,924 | 4,484 | $333K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.6% | 10,957 | 4,963 | $260K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.3% | 3,058 | 1,828 | $207K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.2% | 15,704 | 5,989 | $197K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 3,169 | 2,919 | $191K |
198 more codes
| J2357 | Injection, omalizumab, 5 mg | 1.2% | 195 | $190K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.1% | 1,986 | $181K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.1% | 10,165 | $172K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.0% | 16,707 | $172K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 2,450 | $159K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 337 | $148K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 245 | $145K |
| 73630 | <1% | 9,190 | $141K | |
| 99223 | Prolong inpt eval add15 m | <1% | 2,834 | $131K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 2,650 | $123K |
| H1000 | Prenatal care, at-risk assessment | <1% | 1,228 | $107K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,317 | $104K |
| 97113 | <1% | 2,577 | $103K | |
| 17110 | <1% | 2,194 | $102K | |
| 76830 | Ultrasound, transvaginal | <1% | 1,509 | $98K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 1,352 | $94K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 3,173 | $87K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | <1% | 744 | $86K |
| 29580 | <1% | 4,425 | $84K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,093 | $69K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 4,158 | $61K |
| 11056 | <1% | 3,132 | $58K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,691 | $56K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,412 | $47K |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | <1% | 482 | $46K |
| 76801 | <1% | 601 | $42K | |
| 20550 | <1% | 1,390 | $42K | |
| 59025 | Fetal non-stress test | <1% | 1,851 | $41K |
| 11720 | <1% | 7,381 | $40K | |
| 99235 | <1% | 493 | $38K | |
| 59430 | <1% | 392 | $38K | |
| 81025 | <1% | 5,794 | $35K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,439 | $34K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,422 | $33K |
| 95117 | <1% | 3,697 | $31K | |
| 64612 | <1% | 301 | $30K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,469 | $29K |
| 76942 | <1% | 830 | $27K | |
| 99205 | Prolong outpt/office vis | <1% | 304 | $27K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 624 | $26K |
| 92557 | <1% | 1,093 | $26K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 496 | $26K |
| 76882 | <1% | 1,687 | $25K | |
| 97162 | <1% | 510 | $24K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 425 | $23K |
| 95816 | <1% | 283 | $23K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 1,529 | $23K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 792 | $23K |
| 87210 | <1% | 5,594 | $23K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 565 | $22K |
| 95886 | <1% | 405 | $21K | |
| 92567 | <1% | 2,104 | $21K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 319 | $21K |
| 92015 | Determination of refractive state | <1% | 1,444 | $21K |
| 59410 | <1% | 26 | $17K | |
| 73610 | <1% | 1,013 | $15K | |
| 64616 | <1% | 280 | $14K | |
| 59514 | <1% | 21 | $14K | |
| 11045 | <1% | 665 | $13K | |
| 81002 | <1% | 7,860 | $12K | |
| 95911 | <1% | 130 | $12K | |
| L3030 | Foot, insert, removable, formed to patient foot, each | <1% | 186 | $11K |
| 99201 | <1% | 602 | $11K | |
| 29581 | <1% | 446 | $10K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 68 | $10K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 266 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 986 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 177 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,166 | $9K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 611 | $9K |
| 29540 | <1% | 370 | $9K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,892 | $9K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 661 | $8K |
| 54150 | <1% | 130 | $7K | |
| 11055 | <1% | 617 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,237 | $7K |
| 20606 | <1% | 121 | $7K | |
| 95912 | <1% | 80 | $7K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 83 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 260 | $5K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 244 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 94 | $5K |
| 95024 | <1% | 205 | $5K | |
| 99307 | <1% | 1,410 | $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 | <1% | 125 | $5K |
| 11719 | <1% | 2,370 | $5K | |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 45 | $5K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 128 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 173 | $5K |
| 99335 | <1% | 202 | $5K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 200 | $5K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 199 | $4K |
| 20611 | <1% | 78 | $4K | |
| 99442 | <1% | 278 | $4K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 83 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 95 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 71 | $4K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 30 | $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 | <1% | 24 | $4K |
| 94060 | <1% | 265 | $3K | |
| 99385 | <1% | 44 | $3K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 83 | $3K |
| 11102 | <1% | 92 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,353 | $3K |
| 96133 | <1% | 27 | $3K | |
| 96132 | <1% | 40 | $3K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 541 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 38 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 41 | $3K |
| V5266 | Battery for use in hearing device | <1% | 359 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 79 | $2K |
| 97164 | <1% | 84 | $2K | |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | <1% | 228 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 261 | $2K |
| 73562 | <1% | 124 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 57 | $2K |
| 29405 | <1% | 48 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 157 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 149 | $2K |
| 92587 | <1% | 80 | $1K | |
| 90674 | <1% | 76 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 24 | $1K |
| 10061 | <1% | 15 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 280 | $1K |
| 99306 | Prolong nursin fac eval 15m | <1% | 42 | $1K |
| 94729 | <1% | 266 | $1K | |
| 80061 | Lipid panel | <1% | 140 | $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 | <1% | 13 | $1K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 13 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 70 | $1K |
| 87220 | <1% | 412 | $990.63 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 55 | $969.27 |
| 93923 | <1% | 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 | <1% | 17 | $920.75 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | $884.58 |
| 11100 | <1% | 28 | $794.42 | |
| 11750 | <1% | 15 | $789.70 | |
| 97605 | <1% | 39 | $713.01 | |
| 92083 | <1% | 43 | $705.34 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 50 | $672.16 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 134 | $649.23 |
| 11900 | <1% | 25 | $628.18 | |
| 99334 | <1% | 34 | $619.17 | |
| 11043 | <1% | 17 | $609.88 | |
| 81003 | <1% | 455 | $607.73 | |
| 20610 | <1% | 16 | $572.60 | |
| 90688 | <1% | 39 | $568.92 | |
| 99348 | <1% | 59 | $550.86 | |
| 96127 | <1% | 174 | $532.17 | |
| 92133 | <1% | 52 | $522.00 | |
| 96160 | <1% | 222 | $509.93 | |
| 96116 | <1% | 14 | $474.54 | |
| 74018 | <1% | 67 | $422.69 | |
| 93000 | <1% | 52 | $410.99 | |
| 87807 | <1% | 56 | $407.25 | |
| 73620 | <1% | 36 | $406.71 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 19 | $343.12 |
| 80305 | <1% | 37 | $326.34 | |
| 99221 | <1% | 14 | $312.16 | |
| 97597 | <1% | 27 | $304.35 | |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 18 | $281.32 |
| 95251 | <1% | 13 | $257.67 | |
| 99324 | <1% | 24 | $248.63 | |
| 73030 | <1% | 14 | $211.45 | |
| 73560 | <1% | 16 | $151.69 | |
| 85027 | <1% | 29 | $147.37 | |
| 82962 | <1% | 94 | $138.27 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 16 | $109.81 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 451 | $104.97 |
| 99441 | <1% | 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 | <1% | 60 | $74.94 |
| 94726 | <1% | 26 | $74.22 | |
| 76514 | <1% | 12 | $66.09 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 39 | $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) | <1% | 569 | $49.67 |
| 82043 | <1% | 15 | $33.24 | |
| 99024 | <1% | 1,117 | $23.55 | |
| A4208 | Syringe with needle, sterile 3 cc, each | <1% | 39 | $9.71 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 619 | $6.84 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | <1% | 50 | $1.16 |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 14 | $0.23 |
| 1160F | 0% | 9,848 | $0.00 | |
| 1159F | 0% | 13,753 | $0.00 | |
| 3078F | 0% | 24,602 | $0.00 | |
| 3077F | 0% | 402 | $0.00 | |
| 0518F | 0% | 14 | $0.00 | |
| A6457 | Tubular dressing with or without elastic, any width, per linear yard | 0% | 14 | $0.00 |
| 1000F | 0% | 53,867 | $0.00 | |
| 3075F | 0% | 2,152 | $0.00 | |
| 3008F | 0% | 46,409 | $0.00 | |
| 4010F | 0% | 2,221 | $0.00 | |
| 3074F | 0% | 31,996 | $0.00 | |
| 3079F | 0% | 9,593 | $0.00 | |
| 2000F | 0% | 523 | $0.00 | |
| 4000F | 0% | 3,620 | $0.00 | |
| 0503F | 0% | 153 | $0.00 | |
| A4215 | Needle, sterile, any size, each | 0% | 25 | $0.00 |
| 99305 | 0% | 13 | $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 officialFREDERICK, JOSHUA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Northern Ohio Medical Specialists, LLC | Clyde, OH | $80K |
| Northern Ohio Medical Specialists, LLC | Fremont, OH | $399.85 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.