Physician
Stark County Medical Group, INC.
Stark County Medical Group, INC. was paid $125K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoSTARK COUNTY MEDICAL GROUP, INC.
CANTON, OH 44718
CANTON, OH 44718
33aNPI1427068634assigned 08/09/2006
33bProvider typePediatrics Physician
28Total paid$125K
24GClaims10,531
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#133 of 401
Median peer was paid$30K
This provider vs. median4.2×
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 | 2,216 | $18K | |
| 2019 | 1,736 | $20K | |
| 2020 | 1,406 | $14K | |
| 2021 | 2,044 | $24K | |
| 2022 | 1,273 | $20K | |
| 2023 | 1,092 | $19K | |
| 2024incomplete | 764 | $10K |
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 | 56% | 1,410 | 1,280 | $70K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 1,410 | 1,286 | $53K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 17 | 12 | $908.25 |
| 81003 | <1% | 172 | 163 | $296.59 | |
| 1036F | 0% | 1,202 | 1,092 | $0.00 | |
| 3074F | 0% | 806 | 747 | $0.00 | |
| 3079F | 0% | 46 | 42 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,200 | 1,090 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 147 | 129 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 13 | 12 | $0.00 |
| 3017F | 0% | 34 | 29 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 872 | 779 | $0.00 |
9 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,694 | $0.00 |
| 3078F | 0% | 385 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 172 | $0.00 |
| 1160F | 0% | 133 | $0.00 | |
| 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% | 407 | $0.00 |
| 1159F | 0% | 133 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 58 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 110 | $0.00 |
| G0029 | Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period | 0% | 110 | $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 officialGILLSON, CARRIE (OFFICE MANAGER)