Physician
Ohio North East Health Systems, INC
Ohio North East Health Systems, INC was paid $727K by Medicaid between Jun 2019 and Nov 2024, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
33Billing provider infoOHIO NORTH EAST HEALTH SYSTEMS, INC
CORTLAND, OH 44410
CORTLAND, OH 44410
33aNPI1376012393assigned 11/20/2018
33bProvider typePediatrics Physician
28Total paid$727K
24GClaims42,341
24DCodes billed37
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#72 of 401
Median peer was paid$30K
This provider vs. median25×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DWINNELLS, RONALD controls 11+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 2,278 | $53K | |
| 2020 | 7,220 | $235K | |
| 2021 | 5,656 | $148K | |
| 2022 | 9,097 | $115K | |
| 2023 | 12,019 | $128K | |
| 2024incomplete | 6,071 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 67% | 7,702 | 6,529 | $487K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 6,944 | 3,717 | $150K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 4,131 | 1,785 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 745 | 393 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 248 | 144 | $8K |
| 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 | <1% | 203 | 93 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 169 | 92 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 141 | 76 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 108 | 56 | $3K |
| 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% | 124 | 78 | $2K |
| 36416 | <1% | 913 | 547 | $2K | |
| 92551 | <1% | 435 | 251 | $1K |
25 more codes
| 85018 | <1% | 1,285 | $1K | |
| 99173 | <1% | 979 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 234 | $1K |
| 90473 | <1% | 115 | $568.96 | |
| 90686 | <1% | 662 | $266.58 | |
| 99177 | <1% | 47 | $189.02 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 25 | $116.00 |
| 90474 | <1% | 20 | $69.86 | |
| 90672 | <1% | 142 | $5.51 | |
| 90461 | <1% | 22 | $5.00 | |
| 90698 | <1% | 52 | $0.07 | |
| 90656 | <1% | 42 | $0.01 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,508 | $0.00 |
| 3078F | 0% | 2,170 | $0.00 | |
| 1159F | 0% | 233 | $0.00 | |
| 90670 | 0% | 33 | $0.00 | |
| 3008F | 0% | 2,356 | $0.00 | |
| 2001F | 0% | 2,358 | $0.00 | |
| 1036F | 0% | 2,742 | $0.00 | |
| 3074F | 0% | 2,204 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,533 | $0.00 |
| 1111F | 0% | 1,472 | $0.00 | |
| 1034F | 0% | 115 | $0.00 | |
| 1126F | 0% | 114 | $0.00 | |
| 90680 | 0% | 15 | $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 officialDWINNELLS, RONALD (CEO)
| Provider | Location | Paid |
|---|---|---|
| Ohio North East Health Systems, INC | Warren, OH | $14.05M |
| Ohio North East Health Systems, INC. | Youngstown, OH | $5.40M |
| Ohio North East Health Systems, INC | Newton Falls, OH | $4.95M |
| Ohio North East Health Systems INC | Alliance, OH | $2.73M |
| Ohio North East Health Systems INC | Warren, OH | $1.85M |
| Ohio North East Health Systems, INC. | Youngstown, OH | $458K |
| Ohio North East Health Systems INC | Youngstown, OH | $265K |
| Ohio North East Health Systems INC | Warren, OH | $190K |
| Ohio North East Health Systems, INC | Warren, OH | $61K |
| Ohio North East Health Systems, INC. | Warren, OH | $7K |
| Ohio North East Health Systems, INC. | Alliance, OH | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.