Medicaid Provider Spending

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

WOODMAN PRIMARY CARE LLC

NPI: 1346582608 · DAYTON, OH 45432 · Cardiovascular Disease Physician · NPI assigned 03/25/2013

$716K
Total Medicaid Paid
42,030
Total Claims
27,192
Beneficiaries
35
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialKOLACZKOWSKI, JEFFREY (SOLE OWNER)
NPI Enumeration Date03/25/2013

Related Entities

Other providers sharing the same authorized official: KOLACZKOWSKI, JEFFREY

ProviderCityStateTotal Paid
COMMUNIKARE BEHAVIORAL HEALTH SERVICES LLC DAYTON OH $2.16M
COMMUNIKARE BEHAVIORAL HEALTH SERVICES LLC DAYTON OH $593K
WELLNESS CARD LLC DAYTON OH $438K
WOODMAN PRIMARY CARE LLC DAYTON OH $222K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,670 $174K
2019 15,169 $235K
2020 10,306 $153K
2021 1,537 $90K
2022 1,310 $63K
2023 38 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,632 3,438 $168K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 485 348 $71K
90832 Psychotherapy, 30 minutes with patient 2,064 1,184 $64K
80347 1,602 990 $32K
80364 1,601 989 $27K
80361 1,601 989 $27K
83992 1,602 990 $22K
90853 Group psychotherapy (other than of a multiple-family group) 1,217 602 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 343 313 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 205 198 $15K
80336 1,602 990 $15K
80358 1,272 815 $12K
80345 1,273 816 $12K
80353 1,274 816 $12K
80349 1,273 816 $12K
80368 1,274 816 $12K
80355 1,273 816 $12K
80365 1,272 815 $12K
80348 1,272 815 $12K
80360 1,272 815 $12K
80356 1,272 815 $12K
80370 1,274 816 $12K
80372 1,274 816 $12K
80373 1,274 816 $12K
80326 1,273 816 $12K
80359 1,272 816 $12K
80366 1,273 816 $12K
80354 1,271 815 $12K
80323 1,269 812 $11K
90834 Psychotherapy, 45 minutes with patient 209 170 $10K
90792 Psychiatric diagnostic evaluation with medical services 86 86 $7K
81003 1,603 990 $3K
80305 169 142 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 33 33 $468.48
36415 Collection of venous blood by venipuncture 69 62 $104.76