Medicaid Provider Spending

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

SOUTH COMMUNITY PRIMARY CARE INC

NPI: 1326334624 · MORAINE, OH 45439 · General Practice Physician · NPI assigned 06/24/2011

$217K
Total Medicaid Paid
6,322
Total Claims
5,755
Beneficiaries
13
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialSMERZ, CAROL (CEO)
NPI Enumeration Date06/24/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,042 $35K
2019 1,206 $48K
2020 1,361 $40K
2021 1,240 $40K
2022 1,197 $42K
2023 276 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,700 2,539 $132K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,968 1,823 $63K
99443 327 238 $6K
99442 340 271 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 66 52 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 178 160 $3K
90688 201 168 $2K
99205 Prolong outpt/office vis 13 13 $1K
36415 Collection of venous blood by venipuncture 445 421 $690.30
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29 27 $470.15
90686 16 14 $223.60
99441 24 15 $179.20
92552 15 14 $141.21