Physician
Mount Carmel Healthproviders INC
Mount Carmel Healthproviders INC was paid $9.49M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoMOUNT CARMEL HEALTHPROVIDERS INC
COLUMBUS, OH 43213
COLUMBUS, OH 43213
33aNPI1356384143assigned 06/13/2006
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$9.49M
24GClaims214,528
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in Ohio
Rank by total paid#2 of 21
Median peer was paid$51K
This provider vs. median186×
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 | 31,775 | $1.26M | |
| 2019 | 28,325 | $1.21M | |
| 2020 | 26,282 | $1.18M | |
| 2021 | 27,580 | $1.29M | |
| 2022 | 29,616 | $1.34M | |
| 2023 | 39,534 | $1.71M | |
| 2024incomplete | 31,416 | $1.50M |
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 | 74% | 134,954 | 124,601 | $7.00M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 48,930 | 45,086 | $1.77M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 2,006 | 1,816 | $120K |
| 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 | 1.2% | 1,527 | 1,426 | $116K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,136 | 1,094 | $61K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,915 | 3,489 | $53K |
| 90686 | <1% | 3,130 | 2,830 | $46K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,553 | 1,519 | $45K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 483 | 435 | $30K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 1,213 | 645 | $26K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,769 | 1,328 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 446 | 390 | $18K |
53 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 307 | $18K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 531 | $18K |
| 90677 | <1% | 72 | $15K | |
| 90673 | <1% | 341 | $14K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 205 | $11K |
| 99384 | <1% | 128 | $9K | |
| 99205 | Prolong outpt/office vis | <1% | 100 | $9K |
| 90715 | <1% | 244 | $9K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,345 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 177 | $8K |
| 90662 | <1% | 151 | $6K | |
| 97802 | <1% | 83 | $5K | |
| 90682 | <1% | 104 | $5K | |
| 0012A | <1% | 130 | $5K | |
| 0011A | <1% | 130 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 671 | $3K |
| 90694 | <1% | 77 | $3K | |
| 99254 | <1% | 48 | $3K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,750 | $3K |
| 99397 | <1% | 37 | $3K | |
| 96127 | <1% | 606 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 28 | $2K |
| 90656 | <1% | 124 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 27 | $2K |
| 91320 | <1% | 15 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 66 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 111 | $1K |
| 99406 | <1% | 104 | $627.26 | |
| 20610 | <1% | 13 | $522.84 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $495.61 |
| 90480 | <1% | 15 | $458.94 | |
| 0001A | <1% | 12 | $449.25 | |
| 97803 | <1% | 14 | $376.32 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 20 | $336.04 |
| 99401 | <1% | 16 | $295.82 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 32 | $246.63 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 34 | $197.03 |
| 81003 | <1% | 108 | $156.80 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 54 | $120.16 |
| 36416 | <1% | 72 | $102.52 | |
| 90698 | <1% | 143 | $95.33 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 25 | $36.99 |
| 90670 | <1% | 137 | $30.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 118 | $19.30 |
| 82962 | <1% | 13 | $17.84 | |
| 90680 | <1% | 14 | $10.00 | |
| 1036F | 0% | 1,467 | $0.00 | |
| 3008F | 0% | 211 | $0.00 | |
| 1034F | 0% | 147 | $0.00 | |
| 3079F | 0% | 12 | $0.00 | |
| 3074F | 0% | 13 | $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 officialNELSON, NICOLE (REGIONAL DIRECTOR, REV CYCLE OPS)
| Provider | Location | Paid |
|---|---|---|
| Crossroads Counseling & Training Services | Fairbanks, AK | $19.13M |
| Mount Carmel Healthproviders Two LLC | Columbus, OH | $5.31M |
| Lima Radiological Associates | Lima, OH | $1.28M |
| Mount Carmel Health Providers III LLC | Columbus, OH | $937K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.