Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OHIO NORTH EAST HEALTH SYSTEMS, INC.

NPI: 1285174953 · YOUNGSTOWN, OH 44505 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 03/01/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DWINNELLS, RONALD controls 11+ related entities in our dataset. Read more

$5.40M
Total Medicaid Paid
298,291
Total Claims
174,214
Beneficiaries
33
Codes Billed
2019-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDWINNELLS, RONALD (CEO)
NPI Enumeration Date03/01/2017

Related Entities

Other providers sharing the same authorized official: DWINNELLS, RONALD

ProviderCityStateTotal Paid
OHIO NORTH EAST HEALTH SYSTEMS, INC WARREN OH $14.05M
OHIO NORTH EAST HEALTH SYSTEMS, INC NEWTON FALLS OH $4.95M
OHIO NORTH EAST HEALTH SYSTEMS INC ALLIANCE OH $2.73M
OHIO NORTH EAST HEALTH SYSTEMS INC WARREN OH $1.85M
OHIO NORTH EAST HEALTH SYSTEMS, INC CORTLAND OH $727K
OHIO NORTH EAST HEALTH SYSTEMS, INC. YOUNGSTOWN OH $458K
OHIO NORTH EAST HEALTH SYSTEMS INC YOUNGSTOWN OH $265K
OHIO NORTH EAST HEALTH SYSTEMS INC WARREN OH $190K
OHIO NORTH EAST HEALTH SYSTEMS, INC WARREN OH $61K
OHIO NORTH EAST HEALTH SYSTEMS, INC. WARREN OH $7K
OHIO NORTH EAST HEALTH SYSTEMS, INC. ALLIANCE OH $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 8,472 $243K
2020 27,606 $928K
2021 68,505 $1.21M
2022 78,659 $1.30M
2023 90,076 $1.23M
2024 24,973 $495K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 39,768 15,884 $3.57M
90832 Psychotherapy, 30 minutes with patient 38,684 13,131 $845K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,644 13,950 $693K
80305 26,849 13,619 $147K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,110 1,080 $67K
81025 7,185 3,594 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,955 905 $27K
90791 Psychiatric diagnostic evaluation 338 196 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 105 54 $610.18
H0004 Behavioral health counseling and therapy, per 15 minutes 59 26 $144.48
G8752 Most recent systolic blood pressure < 140 mmhg 15,366 11,345 $0.00
3078F 10,530 8,091 $0.00
4004F 9,395 7,472 $0.00
3077F 1,981 1,528 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 1,951 1,501 $0.00
3050F 888 612 $0.00
1159F 400 330 $0.00
3008F 21,227 15,439 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 16,457 12,065 $0.00
3079F 6,502 5,199 $0.00
2001F 21,227 15,438 $0.00
3074F 11,690 8,941 $0.00
3075F 3,543 2,870 $0.00
3049F 3,223 2,171 $0.00
1034F 6,691 5,228 $0.00
1111F 5,660 4,416 $0.00
3080F 552 429 $0.00
3048F 8,162 5,672 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 1,024 797 $0.00
1126F 239 204 $0.00
1036F 2,331 1,650 $0.00
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 514 341 $0.00
1125F 41 36 $0.00