Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › KETTERING › ALLIANCE PHYSICIANS INC

ALLIANCE PHYSICIANS INC

NPI: 1437125572 · KETTERING, OH 45420 · Sports Medicine (Family Medicine) Physician · NPI assigned 02/28/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KO, TIMOTHY controls 20+ related entities in our dataset. Read more

$38.76M
Total Medicaid Paid
1,042,801
Total Claims
917,957
Beneficiaries
230
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKO, TIMOTHY (CFO)
NPI Enumeration Date02/28/2006

Related Entities

Other providers sharing the same authorized official: KO, TIMOTHY

ProviderCityStateTotal Paid
DAYTON OSTEOPATHIC HOSPITAL DAYTON OH $111.27M
KETTERING MEDICAL CENTER KETTERING OH $37.96M
BEAVERCREEK MEDICAL CENTER BEAVERCREEK OH $30.49M
THE FORT HAMILTON HOSPITAL HAMILTON OH $27.06M
KETTERING MEDICAL CENTER MIAMISBURG OH $20.00M
GREENE MEMORIAL HOSPITAL INC XENIA OH $11.31M
KETTERING MEDICAL CENTER TROY OH $10.83M
KETTERING INDEPENDENT MEDICAL GROUP INC MIAMISBURG OH $8.39M
KETTERING AFFILIATED HEALTH SERVICES MIAMISBURG OH $2.12M
GREENE MEMORIAL HOSPITAL, INC. JAMESTOWN OH $1.53M
ALLIANCE PHYSICIANS INC MORAINE OH $1.42M
ALLIANCE PHYSICIANS INC HUBER HEIGHTS OH $1.06M
GREENE MEMORIAL HOSPITAL INC YELLOW SPRINGS OH $843K
ALLIANCE PHYSICIANS INC MIAMISBURG OH $744K
GREENE MEMORIAL HOSPITAL INC CEDARVILLE OH $703K
ALLIANCE PHYSICIANS INC XENIA OH $645K
ALLIANCE PHYSICIANS INC SPRINGBORO OH $616K
ALLIANCE PHYSICIANS INC KETTERING OH $599K
SYCAMORE PRIMARY CARE GROUP MIAMISBURG OH $564K
ALLIANCE PHYSICIANS INC BEAVERCREEK OH $486K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 151,644 $5.57M
2019 175,929 $6.39M
2020 161,904 $5.97M
2021 208,186 $7.49M
2022 200,291 $7.49M
2023 76,833 $3.19M
2024 68,014 $2.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 266,742 247,451 $13.51M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 343,936 308,221 $13.36M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 24,950 24,053 $919K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 18,029 16,069 $872K
99233 Prolong inpt eval add15 m 21,178 9,828 $653K
99215 Prolong outpt/office vis 11,319 9,650 $599K
76819 Fetal biophysical profile; without non-stress testing 13,629 9,436 $562K
99232 Subsequent hospital care, per day, moderate complexity 26,074 11,468 $556K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,869 5,710 $553K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,201 6,973 $533K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,056 8,735 $446K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 62,001 57,013 $432K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,492 7,931 $286K
20610 6,461 5,593 $265K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,610 3,530 $230K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,225 2,158 $223K
90460 Immunization administration through 18 years of age via any route, first or only component 14,201 5,938 $217K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,238 4,963 $202K
99239 Hospital discharge day management, more than 30 minutes 5,196 4,943 $183K
99223 Prolong inpt eval add15 m 2,962 2,828 $182K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,390 1,321 $173K
93970 5,551 5,149 $153K
90791 Psychiatric diagnostic evaluation 1,748 1,677 $151K
76818 1,655 604 $120K
77014 4,028 758 $110K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,882 1,708 $101K
62323 1,184 1,163 $92K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 973 927 $89K
99222 Initial hospital care, per day, moderate complexity 1,996 1,881 $88K
93000 7,432 7,112 $87K
27096 1,260 1,239 $86K
0240U 667 623 $86K
0002A 2,336 2,309 $85K
J1050 Injection, medroxyprogesterone acetate, 1 mg 934 917 $83K
0001A 2,401 2,370 $81K
76820 3,613 2,455 $80K
99244 Office or other outpatient consultation, moderate to high complexity 926 916 $77K
99220 1,159 1,126 $73K
83036 Hemoglobin; glycosylated (A1C) 11,262 10,922 $69K
99442 3,191 2,945 $65K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,064 520 $63K
90792 Psychiatric diagnostic evaluation with medical services 854 799 $62K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,435 1,190 $62K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,764 2,608 $60K
76813 787 754 $59K
93971 2,903 2,752 $59K
99308 Subsequent nursing facility care, per day, straightforward 4,369 4,076 $54K
81025 8,178 7,738 $52K
58662 162 143 $48K
76830 Ultrasound, transvaginal 707 692 $48K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,601 3,252 $47K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 3,609 3,489 $46K
90686 3,665 3,540 $43K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,785 1,632 $43K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,150 894 $42K
95720 305 150 $41K
99217 1,508 1,455 $41K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 681 669 $38K
93298 2,071 1,976 $37K
77427 326 177 $35K
45380 Colonoscopy, flexible; with biopsy, single or multiple 224 214 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,050 1,944 $35K
93296 2,473 2,372 $34K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 475 452 $32K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 5,435 5,174 $32K
59410 39 39 $30K
93295 792 774 $30K
76801 399 376 $28K
95816 1,405 1,354 $28K
95251 1,304 1,269 $28K
99205 Prolong outpt/office vis 322 308 $28K
95886 795 750 $26K
99225 1,265 729 $23K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 382 375 $23K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 488 469 $22K
99255 229 226 $22K
99406 2,465 2,204 $20K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,274 872 $20K
99309 Subsequent nursing facility care, per day, low to moderate complexity 936 756 $19K
11721 1,065 1,015 $19K
62321 208 204 $18K
93356 2,206 2,139 $17K
99254 248 233 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,108 1,978 $17K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 81 76 $16K
93299 801 744 $15K
99219 311 300 $15K
93880 734 705 $15K
99221 553 527 $15K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,092 1,036 $14K
98928 454 348 $13K
59025 Fetal non-stress test 571 456 $13K
82962 6,758 6,474 $13K
93016 736 709 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity 819 466 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 988 949 $11K
99152 1,410 1,312 $11K
H1000 Prenatal care, at-risk assessment 766 753 $11K
99226 395 237 $10K
99253 192 181 $9K
73630 513 386 $9K
43775 17 16 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 811 484 $9K
99443 535 497 $9K
43248 74 72 $8K
94375 817 798 $7K
93018 750 720 $7K
77334 83 69 $7K
98926 528 323 $7K
81002 2,812 2,575 $6K
99238 Hospital discharge day management, 30 minutes or less 224 211 $6K
93294 330 320 $6K
92551 953 943 $6K
99385 81 80 $6K
90837 Psychotherapy, 53 minutes with patient 89 64 $6K
95819 264 252 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 128 120 $5K
64483 104 103 $5K
81003 3,179 2,985 $5K
93297 302 295 $4K
93458 37 37 $4K
20553 124 99 $4K
90670 865 666 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 96 95 $4K
90674 184 178 $4K
H1003 Prenatal care, at-risk enhanced service; education 223 220 $3K
46600 67 66 $3K
99441 261 255 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 57 50 $3K
97802 54 51 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 592 556 $3K
52000 45 43 $3K
H1002 Prenatal care, at risk enhanced service; care coordination 223 220 $3K
93227 116 112 $3K
77300 41 37 $3K
77263 26 25 $3K
73610 143 121 $3K
94729 690 671 $2K
95822 123 116 $2K
99421 178 176 $2K
93923 127 122 $2K
99173 814 807 $2K
99245 28 26 $2K
77002 98 87 $2K
95909 26 26 $2K
76937 256 229 $2K
99386 24 24 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 7,018 6,660 $2K
43235 16 14 $2K
0004A 21 20 $2K
90698 490 360 $2K
36415 Collection of venous blood by venipuncture 716 674 $2K
J1000 Injection, depo-estradiol cypionate, up to 5 mg 66 61 $1K
73560 94 79 $1K
93922 128 121 $1K
95718 14 12 $1K
96127 384 375 $1K
51798 143 137 $1K
93308 64 63 $1K
76825 13 12 $1K
36416 459 441 $1K
54150 26 24 $1K
94726 237 236 $921.23
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $896.54
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 93 64 $878.25
99497 185 168 $808.09
72110 39 39 $785.16
0011A 20 20 $757.72
78434 14 12 $653.21
99417 Prolong home eval add 15m 30 24 $644.31
99305 26 24 $635.10
94727 136 135 $612.35
72120 29 27 $583.31
93284 15 14 $570.56
64484 13 13 $524.23
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 58 55 $516.74
0031A 22 21 $492.46
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 63 47 $491.80
0012A 13 13 $479.70
78492 13 12 $473.98
90680 274 182 $420.17
90633 134 111 $366.69
98927 17 12 $347.80
97597 72 46 $333.35
90662 15 13 $322.06
93280 14 12 $307.53
90677 14 14 $303.11
76827 13 12 $296.88
90744 122 88 $290.14
90688 20 20 $280.95
73564 15 15 $276.83
99251 13 13 $276.58
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 158 119 $265.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg 511 483 $245.65
99304 14 12 $245.46
G0008 Administration of influenza virus vaccine 78 73 $239.63
90656 18 14 $237.52
93325 26 24 $224.78
73030 13 13 $219.82
85610 75 52 $192.75
90619 64 62 $158.08
1159F 1,330 1,218 $147.96
80305 27 27 $141.80
87807 12 12 $141.73
J1040 Injection, methylprednisolone acetate, 80 mg 14 14 $140.81
98925 23 16 $134.57
90734 27 27 $103.43
82044 26 26 $93.85
90715 13 13 $74.86
91300 4,845 4,637 $13.42
90461 1,508 612 $4.68
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 16 16 $0.48
90685 136 134 $0.21
91301 34 34 $0.10
91303 22 21 $0.03
90697 14 12 $0.02
90710 56 54 $0.02
0503F 1,268 1,072 $0.00
99024 1,020 808 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 112 96 $0.00
G9612 Photodocumentation of two or more cecal landmarks to establish a complete examination 211 208 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 13 13 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 13 12 $0.00
3074F 216 206 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 17 13 $0.00
3079F 98 96 $0.00
1126F 15 15 $0.00
3078F 55 54 $0.00
3077F 27 26 $0.00
1160F 42 40 $0.00