Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CHILLICOTHE › ADENA MEDICAL GROUP LLC

ADENA MEDICAL GROUP LLC

NPI: 1235468083 · CHILLICOTHE, OH 45601 · Interventional Cardiology Physician · NPI assigned 12/08/2009

$40.19M
Total Medicaid Paid
1,516,006
Total Claims
1,338,022
Beneficiaries
261
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRAHAM, JEFFREY (CEO)
NPI Enumeration Date12/08/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 159,687 $4.32M
2019 175,355 $4.86M
2020 172,038 $5.03M
2021 206,786 $6.18M
2022 216,948 $6.38M
2023 304,114 $6.97M
2024 281,078 $6.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 483,495 437,048 $14.73M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 356,623 327,463 $13.60M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26,163 24,802 $1.29M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 25,409 23,912 $976K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23,096 21,922 $755K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15,523 15,229 $700K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 19,940 18,858 $689K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15,336 14,851 $608K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 71,735 63,051 $428K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 33,738 16,037 $384K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,509 11,057 $360K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 29,499 27,553 $338K
90460 Immunization administration through 18 years of age via any route, first or only component 32,997 13,024 $285K
90834 Psychotherapy, 45 minutes with patient 6,619 5,070 $264K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,066 2,845 $239K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,982 1,880 $236K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,089 4,998 $202K
20610 8,361 6,180 $192K
99233 Prolong inpt eval add15 m 6,995 2,794 $175K
99232 Subsequent hospital care, per day, moderate complexity 8,317 3,752 $165K
29848 767 631 $154K
90792 Psychiatric diagnostic evaluation with medical services 2,100 2,005 $149K
20611 3,498 2,796 $139K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 657 596 $124K
95886 6,684 5,111 $123K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,104 7,529 $112K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,326 2,290 $104K
99215 Prolong outpt/office vis 2,693 2,369 $102K
99244 Office or other outpatient consultation, moderate to high complexity 1,834 1,761 $97K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,956 2,708 $92K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 330 305 $85K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,457 2,305 $84K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,695 662 $81K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,507 1,437 $80K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,771 5,642 $78K
76830 Ultrasound, transvaginal 1,682 1,597 $77K
90837 Psychotherapy, 53 minutes with patient 1,126 861 $72K
99223 Prolong inpt eval add15 m 1,220 1,142 $70K
99460 863 837 $65K
11721 8,273 7,667 $65K
17110 1,916 1,753 $65K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 991 751 $61K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,053 1,006 $59K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,232 1,170 $55K
93971 3,865 3,716 $53K
99188 3,098 2,960 $53K
45380 Colonoscopy, flexible; with biopsy, single or multiple 390 367 $53K
95180 439 185 $52K
99238 Hospital discharge day management, 30 minutes or less 1,582 1,509 $49K
99243 1,361 1,317 $45K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,804 1,747 $41K
95810 Polysomnography; sleep staging with 4 or more additional parameters 721 696 $39K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,424 3,198 $38K
99222 Initial hospital care, per day, moderate complexity 956 907 $38K
94060 3,099 2,929 $36K
92557 1,724 1,575 $36K
95909 854 798 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,273 1,942 $28K
93018 3,092 2,934 $26K
93970 1,203 1,156 $26K
92567 2,956 2,726 $24K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 492 473 $23K
17311 234 214 $23K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,642 659 $22K
99239 Hospital discharge day management, more than 30 minutes 580 562 $21K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,669 1,083 $20K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,154 284 $20K
93880 1,234 1,203 $19K
17000 1,098 988 $18K
99381 430 400 $17K
H1003 Prenatal care, at-risk enhanced service; education 1,050 567 $16K
95908 496 473 $15K
77014 561 90 $14K
93458 160 149 $14K
36415 Collection of venous blood by venipuncture 3,734 3,359 $14K
11102 664 625 $13K
93016 1,211 1,146 $13K
95911 204 171 $12K
D1206 Topical application of fluoride varnish 848 837 $12K
27447 15 14 $12K
90686 2,329 2,208 $12K
J0561 Injection, penicillin g benzathine, 100,000 units 65 44 $11K
90961 218 207 $11K
99205 Prolong outpt/office vis 200 173 $11K
54150 205 196 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,122 1,022 $10K
93922 1,020 981 $10K
81003 5,618 5,358 $10K
90791 Psychiatric diagnostic evaluation 131 125 $9K
59025 Fetal non-stress test 473 387 $9K
93227 475 451 $9K
90935 Hemodialysis procedure with single evaluation by a physician 355 174 $9K
95811 132 131 $8K
62323 105 104 $8K
93298 486 457 $8K
87420 743 702 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 151 145 $8K
95910 110 105 $8K
93228 462 448 $7K
64493 151 139 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 53 53 $7K
J1040 Injection, methylprednisolone acetate, 80 mg 579 535 $7K
31575 241 228 $7K
87807 775 760 $7K
93295 285 245 $6K
99459 429 409 $6K
77427 71 40 $6K
94726 1,488 1,416 $6K
94729 1,745 1,674 $5K
99462 156 109 $5K
64494 234 138 $5K
93308 374 351 $5K
99442 233 218 $5K
29075 87 77 $5K
H1000 Prenatal care, at-risk assessment 54 38 $5K
43249 90 85 $5K
99152 624 534 $4K
99407 247 226 $4K
20552 205 188 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 25 25 $4K
90832 Psychotherapy, 30 minutes with patient 103 95 $4K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 38 37 $4K
99406 681 628 $4K
94618 334 302 $4K
11100 220 208 $4K
99308 Subsequent nursing facility care, per day, straightforward 491 458 $3K
75574 42 42 $3K
95251 275 253 $3K
64718 13 12 $3K
99254 39 30 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 528 463 $2K
99218 81 72 $2K
99221 95 82 $2K
64615 49 49 $2K
81025 370 344 $2K
D1208 Topical application of fluoride, excluding varnish 170 168 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 24 24 $2K
17003 301 273 $2K
93289 97 90 $2K
62370 215 201 $2K
90677 1,945 1,876 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 208 65 $2K
43235 24 24 $2K
90670 2,824 2,698 $2K
31624 82 77 $2K
95816 68 63 $2K
83036 Hemoglobin; glycosylated (A1C) 359 333 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 40 39 $1K
99255 17 14 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 168 164 $1K
97161 26 25 $1K
93297 188 155 $1K
11750 20 12 $1K
85018 648 617 $1K
29826 12 12 $1K
00731 13 13 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 134 120 $1K
90472 Immunization administration, each additional vaccine (list separately) 93 84 $1K
99443 65 62 $1K
93272 55 52 $1K
11720 165 155 $1K
93288 128 119 $1K
76801 30 26 $1K
95885 114 96 $995.70
27096 14 14 $986.13
G0127 Trimming of dystrophic nails, any number 390 354 $985.41
01810 12 12 $942.06
95117 125 63 $875.22
90633 1,844 1,762 $850.01
99401 58 45 $839.38
31231 39 38 $827.29
90651 267 265 $823.39
11730 29 25 $770.42
99253 13 13 $678.39
11900 41 38 $591.18
96380 154 145 $584.71
62369 85 83 $561.39
93248 30 30 $547.46
93000 39 38 $534.45
11056 30 26 $509.82
90723 3,603 3,434 $505.30
69210 57 55 $504.39
20526 15 13 $482.85
76942 31 31 $466.13
71046 Radiologic examination, chest; 2 views 30 29 $409.43
93244 25 25 $382.43
96127 203 179 $382.02
90661 485 452 $376.60
92504 127 111 $373.32
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 72 65 $370.64
99335 14 14 $338.44
93294 26 26 $338.40
11301 12 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 16 12 $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) 4,306 4,045 $325.98
94070 20 14 $273.04
99307 58 58 $255.35
94010 40 37 $238.99
90648 5,055 4,839 $222.99
11901 12 12 $201.11
93246 20 20 $191.08
90674 693 676 $179.40
J1885 Injection, ketorolac tromethamine, per 15 mg 70 68 $134.20
94375 12 12 $126.87
95024 34 29 $116.67
90734 292 285 $115.88
90707 849 819 $95.87
88304 14 13 $83.01
1036F 116,169 101,953 $61.47
36416 12 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 22 13 $41.04
94727 13 13 $35.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg 34 29 $33.29
90680 3,036 2,898 $30.50
J2919 Injection, methylprednisolone sodium succinate, 5 mg 24 24 $26.38
99497 15 13 $12.37
90716 848 817 $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 14 13 $2.52
3077F 132 116 $0.00
4004F 8,039 7,191 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 2,988 2,672 $0.00
3725F 1,418 1,361 $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 1,985 1,847 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,014 926 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 140 127 $0.00
G9643 Elective surgery 1,211 1,106 $0.00
3078F 440 420 $0.00
3051F 12 12 $0.00
90710 30 28 $0.00
90700 77 77 $0.00
1124F 66 64 $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 89 83 $0.00
G9654 Monitored anesthesia care (mac) 45 40 $0.00
1160F 26 26 $0.00
90715 97 97 $0.00
G9644 Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure 28 26 $0.00
3046F 30 27 $0.00
90461 29 29 $0.00
3008F 9,348 8,785 $0.00
4554F 2,950 2,718 $0.00
4255F 3,368 3,115 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 3,959 3,537 $0.00
G9775 Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively 1,986 1,845 $0.00
3052F 12 12 $0.00
3074F 824 796 $0.00
4556F 2,746 2,533 $0.00
90696 144 139 $0.00
3079F 471 451 $0.00
99024 448 260 $0.00
90656 80 76 $0.00
3044F 118 112 $0.00
G9642 Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana) 89 83 $0.00
G0008 Administration of influenza virus vaccine 38 37 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 57 51 $0.00
90688 13 13 $0.00
90381 19 18 $0.00
1034F 57 54 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 108 95 $0.00
90620 15 15 $0.00
3075F 16 15 $0.00
3080F 14 12 $0.00