Arbor View Family Medicine, INC.

Arbor View Family Medicine, INC. was paid $480K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoARBOR VIEW FAMILY MEDICINE, INC.
LANCASTER, OH 43130

33aNPI1285765008assigned 03/07/2007

33bProvider typePreferred Provider Organization

28Total paid$480K

24GClaims51,292

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Preferred Provider Organization providers in Ohio

Rank by total paid#2 of 5

Median peer was paid$204K

This provider vs. median2.4×

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	11,043	$83K
2019	10,303	$90K
2020	8,456	$71K
2021	9,211	$77K
2022	6,131	$62K
2023	3,457	$60K
2024incomplete	2,691	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	3,555	3,141	$131K
99307		23%	17,954	11,952	$109K
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	15%	1,163	1,044	$70K
99308	Subsequent nursing facility care, per day, straightforward	15%	6,610	5,522	$70K
99309	Subsequent nursing facility care, per day, low to moderate complexity	11%	5,123	4,853	$53K
99305		7.4%	1,824	1,679	$36K
99306	Prolong nursin fac eval 15m	1.2%	361	341	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	104	38	$1K
99315		<1%	53	51	$969.31
99318		<1%	184	182	$955.89
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	55	26	$926.36
96127		<1%	39	35	$145.87

18 more codes

80305		<1%	29	$142.21
99304		<1%	16	$72.18
3074F		<1%	1,434	$10.00
3078F		<1%	1,418	$5.00
4004F		0%	528	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	1,872	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	3,534	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	1,673	$0.00
3077F		0%	60	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	76	$0.00
1036F		0%	1,443	$0.00
3075F		0%	309	$0.00
3079F		0%	571	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	49	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	48	$0.00
G8599	Aspirin or another antiplatelet therapy not used, reason not given	0%	1,155	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	35	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	17	$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 officialWESTFALL, TOSHA (PRACTICE MANAGER)