Medicaid Provider Spending

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

OHIO NORTH EAST HEALTH SYSTEMS INC

NPI: 1285907501 · WARREN, OH 44483 · Family Medicine Physician · NPI assigned 02/16/2012

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

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

$190K
Total Medicaid Paid
5,503
Total Claims
2,244
Beneficiaries
8
Codes Billed
2018-02
First Month
2020-01
Last Month

Provider Details

Authorized OfficialDWINNELLS, RONALD (CEO)
NPI Enumeration Date02/16/2012

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. YOUNGSTOWN OH $5.40M
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 $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
2018 493 $25K
2019 4,442 $142K
2020 568 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,740 604 $120K
90837 Psychotherapy, 53 minutes with patient 520 220 $20K
90832 Psychotherapy, 30 minutes with patient 795 252 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 838 392 $19K
80305 1,238 601 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 167 70 $6K
81025 122 54 $323.90
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 83 51 $0.00