Physician
Physical Medicine Associates INC
Physical Medicine Associates INC was paid $105K by Medicaid between Jan 2018 and Nov 2023, across 11 billing codes. Its largest line is 95886, — 27% of everything it billed.
33Billing provider infoPHYSICAL MEDICINE ASSOCIATES INC
DAYTON, OH 45406
DAYTON, OH 45406
33aNPI1407809783assigned 05/18/2006
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$105K
24GClaims3,822
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Ohio
Rank by total paid#15 of 55
Median peer was paid$29K
This provider vs. median3.6×
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 | 790 | $22K | |
| 2019 | 1,002 | $29K | |
| 2020 | 264 | $7K | |
| 2021 | 678 | $20K | |
| 2022 | 688 | $17K | |
| 2023 | 400 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95886 | 27% | 1,317 | 1,256 | $28K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 20% | 771 | 219 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 713 | 679 | $18K |
| 99243 | 12% | 399 | 385 | $13K | |
| 99223 | Prolong inpt eval add15 m | 9.9% | 209 | 196 | $10K |
| 95911 | 5.1% | 93 | 88 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.8% | 193 | 53 | $4K |
| 95910 | 2.5% | 56 | 54 | $3K | |
| 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 | 1.1% | 26 | 26 | $1K |
| 99220 | <1% | 19 | 18 | $968.05 | |
| 95909 | <1% | 26 | 26 | $932.00 |
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 officialAKUTHOTA, PANI (MEDICAL DIRECTOR)