Physician
South Community Primary Care INC
South Community Primary Care INC was paid $217K by Medicaid between Jan 2018 and Apr 2023, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoSOUTH COMMUNITY PRIMARY CARE INC
MORAINE, OH 45439
MORAINE, OH 45439
33aNPI1326334624assigned 06/24/2011
33bProvider typeGeneral Practice Physician
28Total paid$217K
24GClaims6,322
24DCodes billed13
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other General Practice Physician providers in Ohio
Rank by total paid#10 of 66
Median peer was paid$19K
This provider vs. median12×
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 | 1,042 | $35K | |
| 2019 | 1,206 | $48K | |
| 2020 | 1,361 | $40K | |
| 2021 | 1,240 | $40K | |
| 2022 | 1,197 | $42K | |
| 2023 | 276 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 2,700 | 2,539 | $132K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 1,968 | 1,823 | $63K |
| 99443 | 2.7% | 327 | 238 | $6K | |
| 99442 | 2.5% | 340 | 271 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 66 | 52 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 178 | 160 | $3K |
| 90688 | <1% | 201 | 168 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | 13 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 445 | 421 | $690.30 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | 27 | $470.15 |
| 90686 | <1% | 16 | 14 | $223.60 | |
| 99441 | <1% | 24 | 15 | $179.20 |
1 more codes
| 92552 | <1% | 15 | $141.21 |
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 officialSMERZ, CAROL (CEO)