Clinic
The Metrohealth System
The Metrohealth System was paid $1.46M by Medicaid between May 2021 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 65% of everything it billed.
33Billing provider infoTHE METROHEALTH SYSTEM
CLEVELAND, OH 44108
CLEVELAND, OH 44108
33aNPI1316573900assigned 03/16/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.46M
24GClaims42,201
24DCodes billed38
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#170 of 348
Median peer was paid$1.33M
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2021 | 3,386 | $128K | |
| 2022 | 8,590 | $334K | |
| 2023 | 16,649 | $524K | |
| 2024incomplete | 13,576 | $477K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 65% | 19,166 | 13,682 | $946K |
| 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 | 11% | 3,625 | 2,801 | $163K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 5,006 | 3,562 | $150K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 839 | 639 | $45K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 680 | 515 | $26K |
| 99384 | 1.7% | 406 | 343 | $25K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 521 | 381 | $24K |
| 99383 | 1.3% | 378 | 280 | $19K | |
| 91320 | <1% | 134 | 119 | $10K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 265 | 112 | $8K |
| 96127 | <1% | 4,783 | 1,265 | $7K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 694 | 638 | $6K |
26 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 87 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 233 | $4K |
| 90480 | <1% | 127 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 461 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 309 | $2K |
| 92551 | <1% | 473 | $2K | |
| 99442 | <1% | 146 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 52 | $2K |
| 91322 | <1% | 14 | $2K | |
| 0012A | <1% | 58 | $2K | |
| 0124A | <1% | 51 | $2K | |
| 0011A | <1% | 28 | $2K | |
| 90656 | <1% | 94 | $741.00 | |
| 90686 | <1% | 65 | $651.70 | |
| 82948 | <1% | 183 | $441.47 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $255.71 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 28 | $124.34 |
| 91301 | <1% | 168 | $1.41 | |
| 91312 | <1% | 46 | $0.37 | |
| 91300 | <1% | 21 | $0.21 | |
| 1036F | 0% | 1,703 | $0.00 | |
| 3074F | 0% | 135 | $0.00 | |
| 3075F | 0% | 72 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 4004F | 0% | 724 | $0.00 | |
| 3078F | 0% | 386 | $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 officialHOLLINGS, DERRICK (EVP/CFO)
Parent organizationTHE METROHEALTH SYSTEM
| Provider | Location | Paid |
|---|---|---|
| The Metrohealth System | Cleveland, OH | $574.13M |
| The Metrohealth System | Cleveland, OH | $125.46M |
| The Metrohealth System | Cleveland, OH | $27.31M |
| The Metrohealth System | Cleveland, OH | $7.81M |
| The Metrohealth System | Cleveland, OH | $991K |
| Hennepin Healthcare Systems, INC. | Minneapolis, MN | $257K |
| The Metrohealth System | Cleveland, OH | $375.56 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.