Physician
Talbert House Primary Care
Talbert House Primary Care was paid $607K by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoTALBERT HOUSE PRIMARY CARE
CINCINNATI, OH 45206
CINCINNATI, OH 45206
33aNPI1225492747assigned 04/11/2016
33bProvider typeFamily Medicine Physician
28Total paid$607K
24GClaims34,007
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#95 of 739
Median peer was paid$30K
This provider vs. median20×
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 | 3,387 | $71K | |
| 2019 | 3,423 | $96K | |
| 2020 | 3,606 | $115K | |
| 2021 | 3,643 | $117K | |
| 2022 | 3,185 | $82K | |
| 2023 | 10,172 | $72K | |
| 2024incomplete | 6,591 | $56K |
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 | 44% | 7,397 | 6,094 | $269K |
| 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 | 27% | 3,140 | 2,803 | $162K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.8% | 776 | 756 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.6% | 1,786 | 1,558 | $40K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.8% | 332 | 279 | $23K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.2% | 1,450 | 1,060 | $19K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.9% | 354 | 330 | $12K |
| 99205 | Prolong outpt/office vis | 1.9% | 127 | 122 | $11K |
| 96127 | 1.2% | 2,342 | 1,602 | $7K | |
| 99406 | 1.1% | 1,006 | 854 | $6K | |
| 99385 | <1% | 46 | 43 | $3K | |
| 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 | <1% | 32 | 30 | $2K |
22 more codes
| 99386 | <1% | 31 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 154 | $2K |
| 90686 | <1% | 104 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 29 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 97 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 751 | $888.64 |
| 90682 | <1% | 34 | $848.96 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $672.65 |
| 90674 | <1% | 16 | $287.49 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $24.82 |
| 1036F | <1% | 1,097 | $19.77 | |
| 1125F | <1% | 587 | $13.96 | |
| 3077F | <1% | 592 | $1.11 | |
| 3080F | <1% | 596 | $1.05 | |
| 3079F | <1% | 821 | $0.56 | |
| 3074F | <1% | 1,816 | $0.45 | |
| 3075F | <1% | 456 | $0.31 | |
| 3078F | <1% | 1,454 | $0.29 | |
| 1126F | 0% | 1,909 | $0.00 | |
| 1160F | 0% | 2,270 | $0.00 | |
| 1159F | 0% | 2,272 | $0.00 | |
| 4004F | 0% | 107 | $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 officialBROOKS, CARLA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Talbert House | Cincinnati, OH | $38.02M |
| Talbert House, INC | Cincinnati, OH | $13.91M |
| Gateways Recovery INC | Cincinnati, OH | $2.88M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.