Clinic
Poland Medical Center LTD
Poland Medical Center LTD was paid $961K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPOLAND MEDICAL CENTER LTD
POLAND, OH 44514
POLAND, OH 44514
33aNPI1346338142assigned 10/10/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$961K
24GClaims38,940
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Ohio
Rank by total paid#15 of 118
Median peer was paid$67K
This provider vs. median14×
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 | 8,077 | $192K | |
| 2019 | 6,726 | $158K | |
| 2020 | 7,298 | $184K | |
| 2021 | 7,002 | $165K | |
| 2022 | 4,960 | $119K | |
| 2023 | 3,084 | $83K | |
| 2024incomplete | 1,793 | $60K |
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 | 40% | 10,638 | 9,619 | $382K |
| 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 | 28% | 5,243 | 4,905 | $265K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 8,141 | 3,624 | $122K |
| 99223 | Prolong inpt eval add15 m | 8.5% | 2,333 | 2,232 | $82K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.8% | 2,377 | 2,265 | $46K |
| 36415 | Collection of venous blood by venipuncture | 1.6% | 7,105 | 6,594 | $15K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 519 | 495 | $15K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.2% | 537 | 300 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 83 | 79 | $6K |
| 99220 | <1% | 87 | 79 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 155 | 151 | $3K |
| 90686 | <1% | 168 | 162 | $2K |
11 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 202 | $2K |
| 81002 | <1% | 850 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 44 | $873.76 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $837.24 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $770.52 |
| 99217 | <1% | 57 | $764.36 | |
| 99219 | <1% | 25 | $686.22 | |
| 93000 | <1% | 38 | $466.18 | |
| 98926 | <1% | 16 | $280.84 | |
| 99225 | <1% | 32 | $91.42 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 266 | $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 officialEVAN, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Foundation Health Care, INC | Youngstown, OH | $12K |
| Foundation Health Care INC. | Poland, OH | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.