Burlas, Regis
Burlas, Regis was paid $1.33M by Medicaid between Jan 2018 and Jun 2024, across 41 billing codes. Its largest line is G0483, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed — 46% of everything it billed.
WADSWORTH, OH 44281
Next to other Anesthesiology Physician providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,546 | $85K | |
| 2019 | 2,687 | $118K | |
| 2020 | 3,301 | $190K | |
| 2021 | 4,487 | $293K | |
| 2022 | 7,817 | $570K | |
| 2023 | 903 | $51K | |
| 2024incomplete | 866 | $27K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 46% | 5,444 | 3,849 | $608K |
| 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 | 34% | 7,719 | 5,677 | $460K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 12% | 5,692 | 4,014 | $156K |
| 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 | 2.0% | 312 | 306 | $27K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 341 | 330 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 327 | 267 | $15K |
| 87481 | <1% | 19 | 18 | $4K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 39 | 36 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 39 | 36 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 37 | 19 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 82 | 66 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 23 | 22 | $3K |
29 more codes
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 19 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 163 | $2K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 45 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 218 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 48 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 27 | $2K |
| 84439 | <1% | 53 | $1K | |
| 86706 | <1% | 31 | $1K | |
| 93000 | <1% | 67 | $1K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 19 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 54 | $1K |
| 92557 | <1% | 28 | $1K | |
| 86780 | <1% | 35 | $873.25 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 64 | $845.56 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $756.84 |
| 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) | <1% | 62 | $747.22 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 39 | $671.63 |
| 86803 | <1% | 17 | $529.38 | |
| 96127 | <1% | 194 | $489.50 | |
| 86704 | <1% | 17 | $457.91 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 28 | $418.58 |
| 87340 | <1% | 17 | $392.49 | |
| 80061 | Lipid panel | <1% | 12 | $391.50 |
| 82607 | <1% | 12 | $370.14 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | $259.09 |
| 82044 | <1% | 72 | $255.96 | |
| 81002 | <1% | 89 | $207.04 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $103.16 |
| 81003 | <1% | 65 | $71.54 |
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.