Clinic
Mount Carmel Health System
Mount Carmel Health System was paid $318K by Medicaid between Jan 2018 and Feb 2021, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoMOUNT CARMEL HEALTH SYSTEM
COLUMBUS, OH 43213
COLUMBUS, OH 43213
33aNPI1336255918assigned 08/23/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$318K
24GClaims5,655
24DCodes billed11
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Urgent Care Clinic/Center providers in Ohio
Rank by total paid#45 of 95
Median peer was paid$201K
This provider vs. median1.6×
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 | 2,723 | $151K | |
| 2019 | 1,991 | $113K | |
| 2020 | 886 | $52K | |
| 2021 | 55 | $3K |
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 | 64% | 3,425 | 3,191 | $203K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 1,228 | 1,172 | $63K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 11% | 465 | 448 | $36K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 148 | 136 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 107 | 96 | $4K |
| 81002 | <1% | 123 | 121 | $297.67 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | 29 | $249.96 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 13 | $191.93 |
| 81025 | <1% | 14 | 14 | $91.39 | |
| 94760 | 0% | 35 | 35 | $0.00 | |
| 99000 | 0% | 66 | 63 | $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 officialPRIDAY, ANDREW (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mount Carmel Health System | Columbus, OH | $66.65M |
| Mount Carmel Health System | Westerville, OH | $42.48M |
| Mount Carmel Health System | Grove City, OH | $14.42M |
| Diley Ridge Medical Center | Canal Winchester, OH | $6.17M |
| Mount Carmel Health System | Columbus, OH | $5.23M |
| Mount Carmel Health System | Columbus, OH | $403K |
| Mount Carmel Health System | Grove City, OH | $180K |
| Mount Carmel Health System | New Albany, OH | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.