Physician
Fairfield Healthcare Professionals INC
Fairfield Healthcare Professionals INC was paid $6.64M by Medicaid between Jan 2018 and Dec 2024, across 132 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoFAIRFIELD HEALTHCARE PROFESSIONALS INC
LANCASTER, OH 43130
LANCASTER, OH 43130
33aNPI1457396368assigned 06/17/2006
33bProvider typeSurgery Physician
28Total paid$6.64M
24GClaims434,314
24DCodes billed132
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Ohio
Rank by total paid#2 of 82
Median peer was paid$14K
This provider vs. median472×
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 | 27,747 | $734K | |
| 2019 | 30,070 | $800K | |
| 2020 | 25,518 | $684K | |
| 2021 | 46,725 | $1.00M | |
| 2022 | 83,421 | $1.13M | |
| 2023 | 125,015 | $1.24M | |
| 2024incomplete | 95,818 | $1.05M |
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 | 40% | 64,613 | 59,323 | $2.67M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 66,523 | 60,248 | $2.18M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 13,345 | 6,530 | $188K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.7% | 5,909 | 5,670 | $176K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.8% | 5,514 | 2,689 | $121K |
| 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 | 1.5% | 1,805 | 1,740 | $102K |
| 99223 | Prolong inpt eval add15 m | 1.5% | 2,283 | 2,182 | $102K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.5% | 4,190 | 3,952 | $100K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.2% | 3,414 | 2,942 | $79K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 14,700 | 12,100 | $74K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 2,740 | 2,611 | $67K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,810 | 5,381 | $63K |
120 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,405 | $52K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 880 | $50K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 472 | $48K |
| 99220 | <1% | 1,059 | $44K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 842 | $31K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 446 | $30K |
| 90837 | Psychotherapy session, about an hour | <1% | 533 | $29K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 603 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,952 | $21K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,476 | $21K |
| 59430 | <1% | 231 | $21K | |
| 99243 | <1% | 348 | $18K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 280 | $17K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,362 | $16K |
| 93000 | <1% | 1,500 | $15K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 567 | $14K |
| 20610 | <1% | 414 | $14K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 227 | $13K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,322 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 187 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 139 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 732 | $11K |
| 99406 | <1% | 2,184 | $11K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 117 | $10K |
| 94060 | <1% | 977 | $10K | |
| 99152 | <1% | 1,673 | $9K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 136 | $8K |
| 95886 | <1% | 295 | $8K | |
| 90746 | <1% | 147 | $7K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 123 | $7K |
| 81025 | <1% | 1,146 | $7K | |
| 81003 | <1% | 4,739 | $6K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 472 | $6K |
| 59025 | Fetal non-stress test | <1% | 200 | $6K |
| 99254 | <1% | 113 | $5K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 83 | $5K |
| 90632 | <1% | 96 | $4K | |
| 90688 | <1% | 395 | $4K | |
| 99442 | <1% | 262 | $4K | |
| 76801 | <1% | 50 | $3K | |
| 91200 | <1% | 255 | $3K | |
| 81002 | <1% | 1,434 | $3K | |
| 90686 | <1% | 194 | $3K | |
| 93016 | <1% | 245 | $3K | |
| 77427 | <1% | 56 | $3K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 54 | $3K |
| 90839 | <1% | 35 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 37 | $2K |
| 99443 | <1% | 112 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 514 | $2K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 25 | $2K |
| 99417 | Prolong home eval add 15m | <1% | 91 | $2K |
| 94729 | <1% | 697 | $2K | |
| 99217 | <1% | 115 | $2K | |
| 99221 | <1% | 74 | $2K | |
| 43235 | <1% | 18 | $2K | |
| 93971 | <1% | 159 | $2K | |
| 90715 | <1% | 60 | $2K | |
| 95811 | <1% | 28 | $2K | |
| 93018 | <1% | 198 | $2K | |
| 51798 | <1% | 225 | $2K | |
| 99460 | <1% | 27 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 46 | $1K |
| 99219 | <1% | 47 | $1K | |
| 94618 | <1% | 108 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 30 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 95 | $1K |
| 93458 | <1% | 14 | $1K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 33 | $1K |
| 20611 | <1% | 28 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 53 | $993.29 |
| 64615 | <1% | 13 | $953.42 | |
| 94726 | <1% | 324 | $950.90 | |
| 99385 | <1% | 12 | $928.32 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $910.61 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | $886.50 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $780.91 |
| 93298 | <1% | 43 | $777.77 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $634.79 |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | <1% | 15 | $574.44 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 122 | $511.38 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 23 | $418.43 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $408.80 |
| 81000 | <1% | 159 | $400.35 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 14 | $395.58 |
| 31645 | <1% | 13 | $388.80 | |
| 99252 | <1% | 13 | $386.25 | |
| 93970 | <1% | 12 | $269.67 | |
| 95806 | <1% | 46 | $268.59 | |
| 74420 | <1% | 15 | $260.18 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 28 | $206.45 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 397 | $168.61 |
| 96127 | <1% | 43 | $165.83 | |
| 93244 | <1% | 12 | $149.72 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $133.38 |
| 95012 | <1% | 15 | $129.81 | |
| 90656 | <1% | 12 | $117.31 | |
| 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 | <1% | 12 | $108.22 |
| 99497 | <1% | 110 | $104.69 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $59.68 |
| 82044 | <1% | 16 | $53.25 | |
| 96160 | <1% | 28 | $51.26 | |
| 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% | 419 | $32.92 |
| 80305 | <1% | 15 | $28.00 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 42 | $9.84 |
| 3288F | <1% | 57,292 | $3.46 | |
| 1159F | 0% | 71,869 | $0.00 | |
| 3077F | 0% | 2,814 | $0.00 | |
| 3078F | 0% | 29,642 | $0.00 | |
| 4013F | 0% | 270 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 82 | $0.00 |
| 1160F | 0% | 1,447 | $0.00 | |
| 90461 | 0% | 51 | $0.00 | |
| 3079F | 0% | 9,491 | $0.00 | |
| 3074F | 0% | 22,574 | $0.00 | |
| 3044F | 0% | 3,000 | $0.00 | |
| 3080F | 0% | 707 | $0.00 | |
| 3075F | 0% | 2,269 | $0.00 | |
| 99024 | 0% | 1,338 | $0.00 | |
| 1111F | 0% | 263 | $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 officialJANOSO, JOHN (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Fairfield Medical Center | Lancaster, OH | $38.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.