Clinic
Canton Family Healthcare LLC
Canton Family Healthcare LLC was paid $1.29M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoCANTON FAMILY HEALTHCARE LLC
CANTON, OH 44718
CANTON, OH 44718
33aNPI1235671926assigned 11/11/2016
33bProvider typePrimary Care Clinic/Center
28Total paid$1.29M
24GClaims65,468
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Ohio
Rank by total paid#11 of 118
Median peer was paid$67K
This provider vs. median19×
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 | 7,286 | $191K | |
| 2019 | 8,141 | $205K | |
| 2020 | 7,667 | $161K | |
| 2021 | 8,927 | $157K | |
| 2022 | 9,818 | $176K | |
| 2023 | 13,098 | $214K | |
| 2024incomplete | 10,531 | $181K |
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 | 46% | 10,089 | 9,293 | $590K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 8,422 | 7,462 | $337K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 2,534 | 2,393 | $77K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 586 | 572 | $35K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 592 | 572 | $32K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.5% | 541 | 506 | $32K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.0% | 411 | 390 | $26K |
| 96127 | 1.8% | 6,231 | 5,886 | $23K | |
| 94010 | 1.2% | 794 | 740 | $15K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 262 | 246 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 168 | 154 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,364 | 1,255 | $12K |
57 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 623 | $7K |
| 90686 | <1% | 806 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 142 | $7K |
| 36416 | <1% | 3,309 | $5K | |
| 85018 | <1% | 2,443 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 183 | $4K |
| 87428 | <1% | 103 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 592 | $4K |
| 81003 | <1% | 2,367 | $4K | |
| 92552 | <1% | 331 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 47 | $4K |
| 80305 | <1% | 312 | $3K | |
| 81002 | <1% | 1,195 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 210 | $2K |
| 90715 | <1% | 98 | $2K | |
| 85014 | <1% | 1,120 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 54 | $2K |
| 99173 | <1% | 755 | $2K | |
| 92551 | <1% | 190 | $1K | |
| 90656 | <1% | 120 | $1K | |
| 92567 | <1% | 82 | $995.59 | |
| 90688 | <1% | 126 | $991.95 | |
| 88738 | <1% | 161 | $581.83 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $557.41 |
| 3074F | <1% | 2,811 | $325.01 | |
| 96161 | <1% | 91 | $187.23 | |
| 90620 | <1% | 27 | $180.96 | |
| 3078F | <1% | 1,650 | $170.00 | |
| 87807 | <1% | 15 | $150.88 | |
| 3075F | <1% | 455 | $130.00 | |
| 3079F | <1% | 1,796 | $110.00 | |
| 3077F | <1% | 186 | $75.00 | |
| 82044 | <1% | 13 | $43.18 | |
| 3044F | <1% | 26 | $40.00 | |
| 82570 | <1% | 12 | $35.96 | |
| 3080F | <1% | 110 | $30.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $28.50 |
| 1220F | 0% | 1,584 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 37 | $0.00 |
| 3008F | 0% | 5,717 | $0.00 | |
| 4010F | 0% | 12 | $0.00 | |
| 90651 | 0% | 26 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 18 | $0.00 |
| 4000F | 0% | 12 | $0.00 | |
| 1125F | 0% | 64 | $0.00 | |
| 1036F | 0% | 16 | $0.00 | |
| 90733 | 0% | 15 | $0.00 | |
| 1160F | 0% | 2,624 | $0.00 | |
| 4004F | 0% | 350 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 122 | $0.00 |
| 90670 | 0% | 37 | $0.00 | |
| 90648 | 0% | 73 | $0.00 | |
| 90734 | 0% | 54 | $0.00 | |
| 90633 | 0% | 24 | $0.00 | |
| 3085F | 0% | 63 | $0.00 | |
| 3023F | 0% | 13 | $0.00 | |
| 90710 | 0% | 25 | $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 officialLUPISAN, MARIA ANGELICA (OFFICE MANAGER)