Core Physicians, LLC

Core Physicians, LLC was paid $5.84M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

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	22,712	$771K
2019	24,841	$871K
2020	20,079	$639K
2021	27,746	$982K
2022	25,516	$912K
2023	23,479	$847K
2024incomplete	20,565	$819K

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	25%	28,045	24,446	$1.49M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	28,583	25,864	$1.06M
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.3%	15,948	15,590	$486K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	7.2%	3,829	2,523	$419K
D1120	Dental cleaning, childProphylaxis - child	6.7%	10,703	10,413	$391K
D1206	Topical application of fluoride varnish	5.2%	16,962	16,492	$306K
D1110	Prophylaxis - adult	4.2%	4,924	4,785	$247K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	4.2%	6,362	5,987	$246K
D0272	Bitewings - two radiographic images	3.8%	8,630	8,324	$221K
D1351	Sealant - per tooth	2.7%	5,404	2,209	$155K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.3%	1,413	998	$135K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	1.6%	1,229	1,171	$94K

76 more codes

D2930	Prefabricated stainless steel crown - primary tooth	1.4%	387	$83K
D0150	Comprehensive oral evaluation - new or established patient	<1%	1,061	$57K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	6,329	$40K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	567	$36K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	783	$36K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	1,201	$29K
D0274	Bitewings - four radiographic images	<1%	872	$28K
D0330	Panoramic radiographic image	<1%	787	$27K
99215	Doctor's office visit, returning patient (complex)	<1%	391	$26K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	331	$21K
99243		<1%	353	$21K
99283	Emergency room visit (moderate)	<1%	413	$17K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	98	$13K
D0220	Intraoral - periapical first radiographic image	<1%	1,479	$13K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	465	$12K
11721		<1%	1,018	$11K
97597		<1%	740	$10K
92567		<1%	1,497	$10K
0240U		<1%	66	$9K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	<1%	117	$9K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	565	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,452	$7K
90461		<1%	1,026	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	219	$6K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	213	$6K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	75	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	66	$4K
92557		<1%	205	$4K
90686		<1%	4,207	$4K
0071A		<1%	100	$4K
95886		<1%	76	$4K
99308	Subsequent nursing facility care, per day, straightforward	<1%	579	$3K
0072A		<1%	80	$3K
99232	Hospital visit by a doctor, follow-up day	<1%	247	$3K
99203	Doctor's office visit, new patient (routine)	<1%	84	$3K
99204	Doctor's office visit, new patient (more involved)	<1%	47	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	224	$2K
96127		<1%	326	$2K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	551	$2K
D0240		<1%	227	$2K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	32	$1K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	18	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	240	$1K
83036	Hemoglobin; glycosylated (A1C)	<1%	179	$823.15
99223	Prolong inpt eval add15 m	<1%	17	$793.47
69210		<1%	71	$672.54
11720		<1%	58	$493.46
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	13	$478.47
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	16	$398.40
80048	Basic metabolic panel (calcium, ionized)	<1%	41	$298.85
36415	Collection of venous blood by venipuncture	<1%	389	$268.92
D0230	Intraoral - periapical each additional radiographic image	<1%	50	$245.00
90472	Immunization administration, each additional vaccine (list separately)	<1%	46	$231.49
80061	Lipid panel	<1%	14	$163.13
90670		<1%	67	$143.17
92551		<1%	32	$138.47
90656		<1%	273	$133.18
82948		<1%	53	$83.96
94060		<1%	18	$79.50
86140		<1%	15	$67.30
99173		<1%	16	$64.72
85651		<1%	13	$42.78
94729		<1%	16	$39.35
99307		<1%	26	$18.20
99000		<1%	93	$9.45
91307		<1%	214	$0.21
D9987		0%	378	$0.00
D9986		0%	702	$0.00
0502F		0%	32	$0.00
4266F		0%	27	$0.00
90685		0%	16	$0.00
4261F		0%	27	$0.00
D0603		0%	120	$0.00
90698		0%	30	$0.00
90680		0%	13	$0.00
36416		0%	17	$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 officialSCHAFFER, MICHAEL (CHIEF MEDICAL OFFICER)