Physician
South Zanesville Family Medical Center, INC
South Zanesville Family Medical Center, INC was paid $3K by Medicaid between Mar 2018 and Mar 2023, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.
33Billing provider infoSOUTH ZANESVILLE FAMILY MEDICAL CENTER, INC
ZANESVILLE, OH 43701
ZANESVILLE, OH 43701
33aNPI1366558942assigned 08/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$3K
24GClaims564
24DCodes billed9
24AFirst – last monthMar 2018 – Mar 2023
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#570 of 739
Median peer was paid$30K
This provider vs. median0.1×
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 | 46 | $194.62 | |
| 2019 | 220 | $0.00 | |
| 2020 | 198 | $2K | |
| 2021 | 40 | $0.00 | |
| 2022 | 31 | $128.82 | |
| 2023 | 29 | $443.21 |
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 | 93% | 96 | 84 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 6.6% | 30 | 27 | $194.62 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 57 | 52 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 218 | 193 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 54 | 48 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 15 | 12 | $0.00 |
| 1036F | 0% | 66 | 59 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 14 | 12 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 14 | 12 | $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 officialKALCHIK, RONALD (PRESIDENT)