Physician
Licking Memorial Health Professionals
Licking Memorial Health Professionals was paid $23.88M by Medicaid between Jan 2018 and Dec 2024, across 190 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoLICKING MEMORIAL HEALTH PROFESSIONALS
NEWARK, OH 43055
NEWARK, OH 43055
33aNPI1326072265assigned 07/10/2006
33bProvider typeHospitalist Physician
28Total paid$23.88M
24GClaims852,751
24DCodes billed190
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hospitalist Physician providers in Ohio
Rank by total paid#1 of 49
Median peer was paid$7K
This provider vs. median3,449×
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 | 148,695 | $4.10M | |
| 2019 | 139,984 | $3.91M | |
| 2020 | 112,625 | $3.03M | |
| 2021 | 118,810 | $3.24M | |
| 2022 | 120,340 | $3.29M | |
| 2023 | 130,582 | $3.80M | |
| 2024incomplete | 81,715 | $2.50M |
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 | 31% | 219,350 | 200,727 | $7.43M |
| 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 | 22% | 113,752 | 106,922 | $5.14M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.4% | 30,394 | 29,282 | $1.54M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.4% | 87,635 | 32,787 | $1.29M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.2% | 40,835 | 39,424 | $1.24M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 15,969 | 14,712 | $927K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 15,658 | 14,313 | $800K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 23,555 | 22,069 | $418K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 6,855 | 6,493 | $389K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.4% | 4,250 | 3,612 | $341K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 6,572 | 6,218 | $307K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 37,095 | 32,187 | $305K |
178 more codes
| 99285 | Emergency room visit (most serious) | 1.3% | 4,791 | $304K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.2% | 16,296 | $288K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,889 | $195K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 11,008 | $185K |
| 90670 | <1% | 10,662 | $173K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,361 | $151K |
| 20610 | <1% | 2,945 | $116K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 3,469 | $115K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,955 | $107K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 18,583 | $106K |
| 90686 | <1% | 15,262 | $92K | |
| 27096 | <1% | 1,357 | $88K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,393 | $85K |
| 87428 | <1% | 1,386 | $72K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,531 | $71K |
| 99460 | <1% | 1,013 | $67K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,598 | $57K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,071 | $56K |
| 62323 | <1% | 1,315 | $56K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 2,186 | $56K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 607 | $50K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 75 | $48K |
| 90677 | <1% | 1,210 | $46K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,095 | $46K |
| 99223 | Prolong inpt eval add15 m | <1% | 895 | $43K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 511 | $41K |
| 92551 | <1% | 7,392 | $40K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 16,806 | $39K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 853 | $38K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 626 | $37K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,055 | $37K |
| 96127 | <1% | 8,613 | $36K | |
| 99442 | <1% | 1,888 | $35K | |
| 0001A | <1% | 1,053 | $34K | |
| 36416 | <1% | 10,328 | $28K | |
| 0002A | <1% | 874 | $26K | |
| 90698 | <1% | 5,649 | $26K | |
| 93971 | <1% | 1,761 | $25K | |
| 99220 | <1% | 517 | $23K | |
| 90651 | <1% | 925 | $22K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 3,278 | $22K |
| 85018 | <1% | 10,353 | $20K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 919 | $20K |
| 77002 | <1% | 1,195 | $19K | |
| 90633 | <1% | 4,174 | $19K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,547 | $19K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 272 | $18K |
| 11100 | <1% | 427 | $17K | |
| 64493 | <1% | 524 | $16K | |
| 20552 | <1% | 2,069 | $16K | |
| 81003 | <1% | 7,734 | $15K | |
| 90739 | <1% | 103 | $15K | |
| 17000 | <1% | 500 | $13K | |
| 64494 | <1% | 635 | $12K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 435 | $12K |
| 17110 | <1% | 194 | $11K | |
| 11102 | <1% | 306 | $11K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 563 | $10K |
| 94060 | <1% | 733 | $10K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 310 | $10K |
| 99462 | <1% | 285 | $9K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 236 | $9K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 251 | $9K |
| 0003A | <1% | 116 | $9K | |
| 93016 | <1% | 600 | $9K | |
| 64635 | <1% | 128 | $8K | |
| 90734 | <1% | 789 | $8K | |
| 93970 | <1% | 413 | $8K | |
| 0071A | <1% | 76 | $8K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 270 | $7K |
| 0124A | <1% | 123 | $7K | |
| 90619 | <1% | 179 | $7K | |
| 95251 | <1% | 344 | $7K | |
| 99406 | <1% | 900 | $7K | |
| 93000 | <1% | 632 | $6K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 37 | $6K |
| 54150 | <1% | 121 | $6K | |
| 0072A | <1% | 60 | $6K | |
| 95886 | <1% | 219 | $6K | |
| 96161 | <1% | 2,015 | $6K | |
| 81025 | <1% | 888 | $5K | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 14 | $5K |
| 95117 | <1% | 673 | $5K | |
| 73564 | <1% | 243 | $5K | |
| 93018 | <1% | 600 | $5K | |
| 90746 | <1% | 72 | $5K | |
| 99243 | <1% | 81 | $4K | |
| 80305 | <1% | 528 | $4K | |
| 64615 | <1% | 50 | $4K | |
| 90656 | <1% | 683 | $4K | |
| 90716 | <1% | 200 | $4K | |
| 90715 | <1% | 393 | $4K | |
| 99173 | <1% | 1,717 | $4K | |
| 90710 | <1% | 300 | $4K | |
| 51798 | <1% | 404 | $3K | |
| 90680 | <1% | 4,850 | $3K | |
| 59025 | Fetal non-stress test | <1% | 103 | $3K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 14 | $3K |
| 64490 | <1% | 84 | $3K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 52 | $3K |
| 64636 | <1% | 160 | $3K | |
| 99242 | <1% | 66 | $3K | |
| 11301 | <1% | 50 | $3K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 326 | $2K |
| 82962 | <1% | 1,544 | $2K | |
| 99441 | <1% | 249 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 188 | $2K |
| 20553 | <1% | 204 | $2K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 351 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 40 | $2K |
| 99217 | <1% | 88 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 375 | $2K |
| 95811 | <1% | 29 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 100 | $2K |
| 90672 | <1% | 917 | $2K | |
| 90707 | <1% | 153 | $2K | |
| 90732 | <1% | 12 | $2K | |
| 00731 | <1% | 28 | $2K | |
| 99443 | <1% | 68 | $2K | |
| 90723 | <1% | 216 | $1K | |
| 94726 | <1% | 456 | $1K | |
| 64491 | <1% | 82 | $1K | |
| 11101 | <1% | 63 | $1K | |
| 94729 | <1% | 454 | $1K | |
| 0054A | <1% | 14 | $1K | |
| 95910 | <1% | 15 | $1K | |
| 99407 | <1% | 74 | $1K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 70 | $1K |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 370 | $1K |
| 64495 | <1% | 41 | $1K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | $1K |
| 0053A | <1% | 14 | $930.00 | |
| 90744 | <1% | 2,489 | $920.50 | |
| 73110 | <1% | 45 | $872.72 | |
| 95816 | <1% | 38 | $848.71 | |
| 99385 | <1% | 12 | $759.62 | |
| 90696 | <1% | 184 | $744.00 | |
| 95885 | <1% | 25 | $731.16 | |
| 90700 | <1% | 888 | $570.00 | |
| 0031A | <1% | 16 | $548.82 | |
| 90620 | <1% | 17 | $539.28 | |
| 99459 | <1% | 31 | $494.00 | |
| 73030 | <1% | 27 | $439.82 | |
| 0012A | <1% | 15 | $434.88 | |
| 87807 | <1% | 44 | $418.76 | |
| 99201 | <1% | 14 | $355.04 | |
| 0011A | <1% | 21 | $308.13 | |
| 17003 | <1% | 16 | $293.95 | |
| 90697 | <1% | 1,538 | $278.84 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 18 | $251.50 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 81 | $244.42 |
| 96380 | <1% | 12 | $175.58 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $171.56 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 118 | $155.33 |
| 95012 | <1% | 13 | $147.21 | |
| 3044F | <1% | 80 | $120.00 | |
| 90713 | <1% | 46 | $80.00 | |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 16 | $51.49 |
| 90681 | <1% | 127 | $30.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 14 | $14.72 |
| G0008 | Administration of influenza virus vaccine | <1% | 134 | $12.74 |
| 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) | <1% | 841 | $6.36 |
| 3074F | <1% | 139 | $5.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 13 | $1.69 |
| 91300 | <1% | 2,081 | $1.52 | |
| 91307 | <1% | 170 | $0.99 | |
| 91312 | <1% | 110 | $0.30 | |
| 91305 | <1% | 62 | $0.17 | |
| 91301 | <1% | 36 | $0.02 | |
| 0503F | 0% | 40 | $0.00 | |
| 90660 | 0% | 95 | $0.00 | |
| 91303 | 0% | 16 | $0.00 | |
| 94760 | 0% | 12 | $0.00 | |
| 90648 | 0% | 426 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 56 | $0.00 |
| 90461 | 0% | 105 | $0.00 | |
| 90685 | 0% | 791 | $0.00 | |
| 3078F | 0% | 97 | $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 officialWEBSTER, CYNTHIA (VP FINANCIAL SERVICE)
| Provider | Location | Paid |
|---|---|---|
| Licking Memorial Professional Corporation | Newark, OH | $365K |
| Licking Memorial Hospital | Newark, OH | $30K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.