Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Chillicothe › NPI 1235468083
Physician

Adena Medical Group LLC

Adena Medical Group LLC was paid $40.19M by Medicaid between Jan 2018 and Dec 2024, across 261 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoADENA MEDICAL GROUP LLC
CHILLICOTHE, OH 45601
33aNPI1235468083assigned 12/08/2009
33bProvider typeInterventional Cardiology Physician
28Total paid$40.19M
24GClaims1,516,006
24DCodes billed261
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Interventional Cardiology Physician providers in Ohio

Rank by total paid#1 of 14
Median peer was paid$18K
This provider vs. median2,271×

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$500K$1.0M2018201920202021202220232024
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
2018159,687$4.32M
2019175,355$4.86M
2020172,038$5.03M
2021206,786$6.18M
2022216,948$6.38M
2023304,114$6.97M
2024incomplete281,078$6.46M
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 37% 483,495 437,048 $14.73M
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 34% 356,623 327,463 $13.60M
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 3.2% 26,163 24,802 $1.29M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2.4% 25,409 23,912 $976K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.9% 23,096 21,922 $755K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.7% 15,523 15,229 $700K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.7% 19,940 18,858 $689K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.5% 15,336 14,851 $608K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.1% 71,735 63,051 $428K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 33,738 16,037 $384K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 11,509 11,057 $360K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 29,499 27,553 $338K
249 more codes
90460 Immunization administration through 18 years of age via any route, first or only component <1% 32,997 $285K
90834 Psychotherapy session, about 45 minutes <1% 6,619 $264K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 3,066 $239K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 1,982 $236K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 5,089 $202K
20610 <1% 8,361 $192K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 6,995 $175K
99232 Hospital visit by a doctor, follow-up day <1% 8,317 $165K
29848 <1% 767 $154K
90792 Psychiatric diagnostic evaluation with medical services <1% 2,100 $149K
20611 <1% 3,498 $139K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 657 $124K
95886 <1% 6,684 $123K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 8,104 $112K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,326 $104K
99215 Doctor's office visit, returning patient (complex) <1% 2,693 $102K
99244 Office or other outpatient consultation, moderate to high complexity <1% 1,834 $97K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,956 $92K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 330 $85K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 2,457 $84K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,695 $81K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 1,507 $80K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 5,771 $78K
76830 Ultrasound, transvaginal <1% 1,682 $77K
90837 Psychotherapy session, about an hour <1% 1,126 $72K
99223 Prolong inpt eval add15 m <1% 1,220 $70K
99460 <1% 863 $65K
11721 <1% 8,273 $65K
17110 <1% 1,916 $65K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 991 $61K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,053 $59K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,232 $55K
93971 <1% 3,865 $53K
99188 <1% 3,098 $53K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 390 $53K
95180 <1% 439 $52K
99238 Hospital discharge day management, 30 minutes or less <1% 1,582 $49K
99243 <1% 1,361 $45K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,804 $41K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 721 $39K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 3,424 $38K
99222 Initial hospital care, per day, moderate complexity <1% 956 $38K
94060 <1% 3,099 $36K
92557 <1% 1,724 $36K
95909 <1% 854 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,273 $28K
93018 <1% 3,092 $26K
93970 <1% 1,203 $26K
92567 <1% 2,956 $24K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 492 $23K
17311 <1% 234 $23K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,642 $22K
99239 Hospital discharge day management, more than 30 minutes <1% 580 $21K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,669 $20K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,154 $20K
93880 <1% 1,234 $19K
17000 <1% 1,098 $18K
99381 <1% 430 $17K
H1003 Prenatal care, at-risk enhanced service; education <1% 1,050 $16K
95908 <1% 496 $15K
77014 <1% 561 $14K
93458 <1% 160 $14K
36415 Collection of venous blood by venipuncture <1% 3,734 $14K
11102 <1% 664 $13K
93016 <1% 1,211 $13K
95911 <1% 204 $12K
D1206 Topical application of fluoride varnish <1% 848 $12K
27447 <1% 15 $12K
90686 <1% 2,329 $12K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 65 $11K
90961 <1% 218 $11K
99205 Prolong outpt/office vis <1% 200 $11K
54150 <1% 205 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,122 $10K
93922 <1% 1,020 $10K
81003 <1% 5,618 $10K
90791 Psychiatric diagnostic evaluation <1% 131 $9K
59025 Fetal non-stress test <1% 473 $9K
93227 <1% 475 $9K
90935 Hemodialysis procedure with single evaluation by a physician <1% 355 $9K
95811 <1% 132 $8K
62323 <1% 105 $8K
93298 <1% 486 $8K
87420 <1% 743 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 151 $8K
95910 <1% 110 $8K
93228 <1% 462 $7K
64493 <1% 151 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 53 $7K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 579 $7K
31575 <1% 241 $7K
87807 <1% 775 $7K
93295 <1% 285 $6K
99459 <1% 429 $6K
77427 <1% 71 $6K
94726 <1% 1,488 $6K
94729 <1% 1,745 $5K
99462 <1% 156 $5K
64494 <1% 234 $5K
93308 <1% 374 $5K
99442 <1% 233 $5K
29075 <1% 87 $5K
H1000 Prenatal care, at-risk assessment <1% 54 $5K
43249 <1% 90 $5K
99152 <1% 624 $4K
99407 <1% 247 $4K
20552 <1% 205 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 25 $4K
90832 Psychotherapy session, about 30 minutes <1% 103 $4K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 38 $4K
99406 <1% 681 $4K
94618 <1% 334 $4K
11100 <1% 220 $4K
99308 Subsequent nursing facility care, per day, straightforward <1% 491 $3K
75574 <1% 42 $3K
95251 <1% 275 $3K
64718 <1% 13 $3K
99254 <1% 39 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 528 $2K
99218 <1% 81 $2K
99221 <1% 95 $2K
64615 <1% 49 $2K
81025 <1% 370 $2K
D1208 Topical application of fluoride, excluding varnish <1% 170 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 24 $2K
17003 <1% 301 $2K
93289 <1% 97 $2K
62370 <1% 215 $2K
90677 <1% 1,945 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 208 $2K
43235 <1% 24 $2K
90670 <1% 2,824 $2K
31624 <1% 82 $2K
95816 <1% 68 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 359 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 40 $1K
99255 <1% 17 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 168 $1K
97161 <1% 26 $1K
93297 <1% 188 $1K
11750 <1% 20 $1K
85018 <1% 648 $1K
29826 <1% 12 $1K
00731 <1% 13 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 134 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 93 $1K
99443 <1% 65 $1K
93272 <1% 55 $1K
11720 <1% 165 $1K
93288 <1% 128 $1K
76801 <1% 30 $1K
95885 <1% 114 $995.70
27096 <1% 14 $986.13
G0127 Trimming of dystrophic nails, any number <1% 390 $985.41
01810 <1% 12 $942.06
95117 <1% 125 $875.22
90633 <1% 1,844 $850.01
99401 <1% 58 $839.38
31231 <1% 39 $827.29
90651 <1% 267 $823.39
11730 <1% 29 $770.42
99253 <1% 13 $678.39
11900 <1% 41 $591.18
96380 <1% 154 $584.71
62369 <1% 85 $561.39
93248 <1% 30 $547.46
93000 <1% 39 $534.45
11056 <1% 30 $509.82
90723 <1% 3,603 $505.30
69210 <1% 57 $504.39
20526 <1% 15 $482.85
76942 <1% 31 $466.13
71046 Radiologic examination, chest; 2 views <1% 30 $409.43
93244 <1% 25 $382.43
96127 <1% 203 $382.02
90661 <1% 485 $376.60
92504 <1% 127 $373.32
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 72 $370.64
99335 <1% 14 $338.44
93294 <1% 26 $338.40
11301 <1% 12 $329.71
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 16 $327.25
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% 4,306 $325.98
94070 <1% 20 $273.04
99307 <1% 58 $255.35
94010 <1% 40 $238.99
90648 <1% 5,055 $222.99
11901 <1% 12 $201.11
93246 <1% 20 $191.08
90674 <1% 693 $179.40
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 70 $134.20
94375 <1% 12 $126.87
95024 <1% 34 $116.67
90734 <1% 292 $115.88
90707 <1% 849 $95.87
88304 <1% 14 $83.01
1036F <1% 116,169 $61.47
36416 <1% 12 $45.69
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 22 $41.04
94727 <1% 13 $35.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 34 $33.29
90680 <1% 3,036 $30.50
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 24 $26.38
99497 <1% 15 $12.37
90716 <1% 848 $10.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months <1% 14 $2.52
3077F 0% 132 $0.00
4004F 0% 8,039 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 2,988 $0.00
3725F 0% 1,418 $0.00
G9771 At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time 0% 1,985 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 1,014 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 140 $0.00
G9643 Elective surgery 0% 1,211 $0.00
3078F 0% 440 $0.00
3051F 0% 12 $0.00
90710 0% 30 $0.00
90700 0% 77 $0.00
1124F 0% 66 $0.00
G9497 Received instruction from the anesthesiologist or proxy prior to the day of surgery to abstain from smoking on the day of surgery 0% 89 $0.00
G9654 Monitored anesthesia care (mac) 0% 45 $0.00
1160F 0% 26 $0.00
90715 0% 97 $0.00
G9644 Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure 0% 28 $0.00
3046F 0% 30 $0.00
90461 0% 29 $0.00
3008F 0% 9,348 $0.00
4554F 0% 2,950 $0.00
4255F 0% 3,368 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 3,959 $0.00
G9775 Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively 0% 1,986 $0.00
3052F 0% 12 $0.00
3074F 0% 824 $0.00
4556F 0% 2,746 $0.00
90696 0% 144 $0.00
3079F 0% 471 $0.00
99024 0% 448 $0.00
90656 0% 80 $0.00
3044F 0% 118 $0.00
G9642 Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana) 0% 89 $0.00
G0008 Administration of influenza virus vaccine 0% 38 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 57 $0.00
90688 0% 13 $0.00
90381 0% 19 $0.00
1034F 0% 57 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 108 $0.00
90620 0% 15 $0.00
3075F 0% 16 $0.00
3080F 0% 14 $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 officialGRAHAM, JEFFREY (CEO)