Physician
Medical Associates of Cambridge INC.
Medical Associates of Cambridge INC. was paid $1.49M by Medicaid between Jan 2018 and May 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoMEDICAL ASSOCIATES OF CAMBRIDGE INC.
CAMBRIDGE, OH 43725
CAMBRIDGE, OH 43725
33aNPI1295879393assigned 02/20/2007
33bProvider typeInternal Medicine Physician
28Total paid$1.49M
24GClaims97,490
24DCodes billed56
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#30 of 663
Median peer was paid$17K
This provider vs. median85×
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 | 11,610 | $305K | |
| 2019 | 12,181 | $278K | |
| 2020 | 10,527 | $241K | |
| 2021 | 23,465 | $262K | |
| 2022 | 18,731 | $180K | |
| 2023 | 17,940 | $175K | |
| 2024incomplete | 3,036 | $47K |
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 | 51% | 23,638 | 21,437 | $757K |
| 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 | 30% | 11,234 | 10,139 | $451K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 502 | 474 | $27K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 510 | 467 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 4,500 | 4,116 | $23K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 498 | 477 | $21K |
| 80061 | Lipid panel | 1.2% | 2,697 | 2,512 | $18K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 279 | 265 | $17K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 301 | 285 | $16K |
| 80053 | Comprehensive metabolic panel | 1.1% | 2,205 | 2,048 | $16K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.1% | 144 | 116 | $16K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,515 | 1,407 | $14K |
44 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 8,005 | $13K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 2,133 | $12K |
| 83721 | <1% | 2,304 | $10K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 158 | $9K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 222 | $9K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 332 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 96 | $5K |
| 80076 | <1% | 1,116 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 91 | $4K |
| 96127 | <1% | 935 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 432 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 168 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 79 | $1K |
| 99460 | <1% | 14 | $949.81 | |
| 90686 | <1% | 42 | $533.30 | |
| 99462 | <1% | 16 | $514.08 | |
| 0011A | <1% | 12 | $424.24 | |
| 99406 | <1% | 76 | $376.86 | |
| 90658 | <1% | 37 | $307.25 | |
| 87807 | <1% | 67 | $237.47 | |
| 81000 | <1% | 53 | $176.46 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 749 | $9.80 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 575 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 1,076 | $0.00 |
| 1036F | 0% | 1,337 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 667 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 1,158 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 935 | $0.00 |
| 3074F | 0% | 72 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 886 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 234 | $0.00 |
| 3049F | 0% | 18 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 3079F | 0% | 17 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 5,174 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14,745 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 4,634 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 617 | $0.00 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 17 | $0.00 |
| 3078F | 0% | 71 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 42 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 12 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 15 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 16 | $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 officialGOGGIN, PATRICK (MANAGING PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Independent School District 2397 | Le Sueur, MN | $739K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.