Physician
Premier Integrated Medical Assoc LTD
Premier Integrated Medical Assoc LTD was paid $2.36M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoPREMIER INTEGRATED MEDICAL ASSOC LTD
KETTERING, OH 45420
KETTERING, OH 45420
33aNPI1285690339assigned 04/25/2006
33bProvider typePediatrics Physician
28Total paid$2.36M
24GClaims62,356
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#31 of 401
Median peer was paid$30K
This provider vs. median80×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official COUCH, MARK controls 12+ related entities in our dataset. Read more
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 | 2,977 | $123K | |
| 2019 | 3,884 | $146K | |
| 2020 | 7,739 | $242K | |
| 2021 | 20,070 | $778K | |
| 2022 | 16,281 | $630K | |
| 2023 | 10,539 | $383K | |
| 2024incomplete | 866 | $56K |
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 | 44% | 19,254 | 17,751 | $1.05M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 12,749 | 11,761 | $511K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 7,526 | 6,871 | $244K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 6.8% | 1,218 | 1,186 | $161K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 2,664 | 2,570 | $152K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 3,055 | 2,835 | $149K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 412 | 401 | $22K |
| 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% | 186 | 174 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,257 | 952 | $10K |
| 99050 | <1% | 469 | 447 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 380 | 377 | $7K |
| 92551 | <1% | 961 | 928 | $6K |
21 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 195 | $5K |
| 90670 | <1% | 2,250 | $4K | |
| 96127 | <1% | 972 | $4K | |
| 99173 | <1% | 1,502 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 160 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 25 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 119 | $1K |
| 90686 | <1% | 2,973 | $956.42 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $936.62 |
| 99383 | <1% | 12 | $855.12 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 20 | $770.44 |
| 90698 | <1% | 1,245 | $703.96 | |
| 99381 | <1% | 14 | $666.71 | |
| 36416 | <1% | 90 | $342.72 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 183 | $322.88 |
| 85018 | <1% | 83 | $162.99 | |
| 90633 | <1% | 280 | $140.32 | |
| 90680 | <1% | 1,226 | $50.35 | |
| 90744 | <1% | 192 | $1.33 | |
| 90697 | 0% | 510 | $0.00 | |
| 94760 | 0% | 157 | $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 officialCOUCH, MARK (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Premier Integrated Medical Assoc LTD | Dayton, OH | $1.29M |
| Premier Integrated Medical Assoc LTD | Centerville, OH | $147K |
| Premier Integrated Medical Assoc LTD | Kettering, OH | $116K |
| Premier Integrated Medical Assoc LTD | Beavercreek, OH | $115K |
| Premier Integrated Medical Associates, LTD | Vandalia, OH | $51K |
| Premier Integrated Medical Assoc LTD | Centerville, OH | $45K |
| Premier Integrated Medical Assoc LTD | Dayton, OH | $33K |
| Premier Integrated Medical Assoc LTD | Kettering, OH | $26K |
| Premier Integrated Medical Assoc LTD | Springboro, OH | $24K |
| Premier Integrated Medical Assoc LTD | Beavercreek, OH | $22K |
| Premier Integrated Medical Associates, LTD | Dayton, OH | $17K |
| Premier Integrated Medical Assoc LTD | Kettering, OH | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.