Physician
Rise Medical Group, LLC
Rise Medical Group, LLC was paid $324K by Medicaid between Jan 2018 and Mar 2023, across 7 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 35% of everything it billed.
33Billing provider infoRISE MEDICAL GROUP, LLC
BOWLING GREEN, OH 43402
BOWLING GREEN, OH 43402
33aNPI1285864488assigned 07/22/2009
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$324K
24GClaims13,848
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#12 of 31
Median peer was paid$60K
This provider vs. median5.4×
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 | 4,078 | $93K | |
| 2019 | 3,199 | $72K | |
| 2020 | 3,149 | $81K | |
| 2021 | 1,699 | $38K | |
| 2022 | 1,304 | $31K | |
| 2023 | 419 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 35% | 2,758 | 723 | $114K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 35% | 7,172 | 2,061 | $113K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 24% | 3,517 | 1,240 | $78K |
| 99223 | Prolong inpt eval add15 m | 3.0% | 249 | 231 | $10K |
| 99255 | 1.9% | 73 | 66 | $6K | |
| 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 | <1% | 66 | 56 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 13 | $232.95 |
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 officialEL GAMAL, HESHAM (OWNER)