Physician
Primecare of Southeastern Ohio, INC.
Primecare of Southeastern Ohio, INC. was paid $1.78M by Medicaid between Jan 2021 and Dec 2023, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPRIMECARE OF SOUTHEASTERN OHIO, INC.
ZANESVILLE, OH 43701
ZANESVILLE, OH 43701
33aNPI1417932294assigned 12/14/2005
33bProvider typeInternal Medicine Physician
28Total paid$1.78M
24GClaims89,853
24DCodes billed52
24AFirst – last monthJan 2021 – Dec 2023
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#26 of 663
Median peer was paid$17K
This provider vs. median102×
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 | |
|---|---|---|---|
| 2021 | 27,719 | $589K | |
| 2022 | 35,371 | $645K | |
| 2023 | 26,763 | $543K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 24,347 | 20,525 | $859K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 8,314 | 6,762 | $230K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,635 | 3,091 | $195K |
| 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 | 10% | 3,869 | 3,425 | $178K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.6% | 3,035 | 2,498 | $136K |
| 90670 | 3.7% | 2,218 | 1,775 | $66K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 544 | 470 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,278 | 1,037 | $14K |
| 90698 | <1% | 1,159 | 936 | $14K | |
| 92551 | <1% | 1,562 | 1,365 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 349 | 307 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 709 | 563 | $8K |
40 more codes
| 99188 | <1% | 449 | $6K | |
| 90686 | <1% | 1,868 | $4K | |
| 36416 | <1% | 1,241 | $3K | |
| 90633 | <1% | 215 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 49 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 37 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,280 | $2K |
| 96127 | <1% | 436 | $2K | |
| 99173 | <1% | 626 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 30 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 80 | $1K |
| 90710 | <1% | 15 | $832.59 | |
| 90680 | <1% | 1,035 | $618.02 | |
| D1206 | Topical application of fluoride varnish | <1% | 97 | $582.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 27 | $507.87 |
| 85018 | <1% | 301 | $449.14 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $418.22 |
| 90744 | <1% | 277 | $325.00 | |
| 80305 | <1% | 24 | $170.21 | |
| 90461 | <1% | 3,933 | $156.28 | |
| 90696 | <1% | 15 | $117.00 | |
| 90672 | <1% | 20 | $84.66 | |
| 90473 | <1% | 18 | $66.70 | |
| 90700 | <1% | 15 | $10.50 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 121 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 6,631 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,751 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,336 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 5,217 | $0.00 |
| 4004F | 0% | 845 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 157 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 26 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 2,925 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 936 | $0.00 |
| 3017F | 0% | 1,094 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 171 | $0.00 |
| 1036F | 0% | 2,987 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 807 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 645 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 63 | $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 officialLUCEY, DAVE (COO)