Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › PORTSMOUTH › SOMC MEDICAL CARE FOUNDATION, INC.

SOMC MEDICAL CARE FOUNDATION, INC.

NPI: 1457467227 · PORTSMOUTH, OH 45662 · Radiation Oncology Physician · NPI assigned 08/22/2006

$25.29M
Total Medicaid Paid
1,055,701
Total Claims
924,193
Beneficiaries
212
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFITE, REBECCA (ADMINISTRATIVE DIRECTOR)
NPI Enumeration Date08/22/2006

Related Entities

Other providers sharing the same authorized official: FITE, REBECCA

ProviderCityStateTotal Paid
SOMC MEDICAL CARE FOUNDATION, INC. PORTSMOUTH OH $3.84M
SOMC MEDICAL CARE FOUNDATION, INC. PORTSMOUTH OH $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 121,512 $2.59M
2019 143,314 $3.16M
2020 136,599 $3.05M
2021 163,432 $3.90M
2022 171,467 $4.19M
2023 178,626 $4.37M
2024 140,751 $4.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 335,020 310,102 $10.20M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 368,877 333,374 $8.04M
88305 Level IV - Surgical pathology, gross and microscopic examination 23,600 13,712 $534K
99223 Prolong inpt eval add15 m 10,532 9,637 $437K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15,126 13,400 $415K
99232 Subsequent hospital care, per day, moderate complexity 29,970 14,759 $399K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 66,931 54,248 $378K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,069 9,703 $339K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,018 6,652 $332K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10,695 10,200 $331K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,253 3,078 $292K
93458 2,556 2,336 $238K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,178 7,735 $226K
90837 Psychotherapy, 53 minutes with patient 3,587 2,705 $211K
99215 Prolong outpt/office vis 5,534 4,264 $172K
99233 Prolong inpt eval add15 m 8,867 4,552 $161K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,788 9,179 $159K
20610 7,091 5,913 $153K
99222 Initial hospital care, per day, moderate complexity 4,911 4,605 $143K
45380 Colonoscopy, flexible; with biopsy, single or multiple 968 895 $127K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 9,948 5,188 $115K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,746 1,646 $101K
92928 635 483 $93K
95886 4,707 2,763 $88K
95913 787 741 $87K
93298 5,594 5,337 $84K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,464 2,383 $81K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3,328 3,055 $75K
95811 1,100 1,035 $68K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,637 1,560 $58K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,173 2,987 $57K
93016 3,465 3,274 $46K
88307 979 797 $43K
95911 746 711 $42K
99441 4,549 4,307 $42K
95912 509 485 $37K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 975 950 $36K
99442 2,190 1,971 $35K
95816 1,467 1,351 $34K
93018 3,748 3,539 $33K
99308 Subsequent nursing facility care, per day, straightforward 4,149 2,010 $33K
92978 769 660 $31K
88342 1,738 1,518 $30K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 785 652 $29K
88304 3,927 3,263 $26K
94060 2,214 2,107 $24K
99406 5,156 4,547 $23K
99152 4,379 3,883 $22K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 352 337 $21K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 104 97 $20K
88141 949 776 $19K
93297 1,944 1,816 $18K
31575 656 576 $17K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,105 1,207 $17K
93970 912 877 $17K
43450 613 579 $15K
64615 262 247 $14K
59515 29 24 $14K
90792 Psychiatric diagnostic evaluation with medical services 256 238 $13K
99497 1,973 1,509 $12K
99460 223 208 $12K
99310 Prolong nursin fac eval 15m 739 393 $11K
73630 1,993 1,594 $11K
J0585 Injection, onabotulinumtoxina, 1 unit 137 119 $10K
93971 720 683 $10K
88112 778 594 $10K
93571 737 639 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,070 905 $9K
93454 158 138 $9K
59514 41 36 $9K
94726 2,194 2,112 $9K
94729 2,245 2,160 $8K
99188 300 291 $7K
20552 493 461 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 155 154 $6K
54150 161 155 $6K
36415 Collection of venous blood by venipuncture 2,168 1,948 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 465 426 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 198 191 $6K
99307 1,481 1,312 $6K
99401 471 409 $6K
99443 281 251 $6K
93308 434 408 $6K
99205 Prolong outpt/office vis 84 83 $6K
90785 522 302 $5K
93227 217 210 $5K
93295 194 184 $4K
93294 381 350 $4K
69210 578 527 $4K
92557 281 254 $4K
95251 251 244 $4K
11045 318 168 $4K
71045 Radiologic examination, chest; single view 610 548 $4K
93880 287 278 $4K
92979 116 88 $4K
99238 Hospital discharge day management, 30 minutes or less 142 131 $3K
17110 129 123 $3K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 27 24 $3K
52000 81 78 $3K
92567 424 390 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 1,076 979 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material 97 95 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 79 78 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 169 151 $3K
93299 118 115 $3K
88311 468 382 $3K
77014 121 12 $3K
94618 197 188 $2K
95861 46 38 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $2K
90791 Psychiatric diagnostic evaluation 45 39 $2K
70450 Computed tomography, head or brain; without contrast material 102 100 $2K
95822 91 77 $2K
73610 306 264 $2K
11102 82 78 $2K
99381 64 56 $2K
73560 397 342 $1K
77427 24 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 161 156 $1K
64493 37 36 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 50 49 $1K
95819 84 82 $1K
99239 Hospital discharge day management, more than 30 minutes 61 57 $1K
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) 485 470 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 188 121 $1K
99221 70 65 $1K
99385 29 26 $1K
31231 64 50 $1K
73562 180 143 $1K
96160 794 491 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 55 52 $960.22
90834 Psychotherapy, 45 minutes with patient 30 25 $939.42
52204 13 13 $894.01
99462 43 23 $883.50
93272 42 42 $878.12
74420 82 77 $863.28
99496 56 53 $836.60
71275 Computed tomographic angiography, chest, with contrast material 12 12 $810.98
64483 35 31 $802.00
20553 67 63 $793.54
20550 43 40 $791.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 814 758 $782.81
90686 72 64 $780.72
95860 28 26 $767.46
57454 13 12 $758.47
99305 43 36 $731.26
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 85 79 $722.79
95910 13 13 $717.69
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 265 257 $711.33
62323 12 12 $706.43
88302 151 89 $689.16
64484 29 28 $688.97
95909 20 18 $685.66
71046 Radiologic examination, chest; 2 views 81 81 $668.67
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 87 80 $663.00
72125 Computed tomography, cervical spine; without contrast material 17 17 $612.68
73502 102 91 $612.38
88173 24 12 $553.98
64494 37 36 $496.93
99498 63 53 $464.38
90647 291 284 $447.09
31645 15 14 $426.54
99335 31 25 $389.00
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) 30 28 $332.92
0523T 16 12 $320.95
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 50 46 $300.20
94010 58 56 $294.15
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 15 14 $286.23
99217 19 16 $255.38
73110 42 32 $247.31
90461 635 555 $246.18
73030 42 40 $242.92
17000 16 13 $234.82
90633 103 103 $225.00
99173 57 56 $223.41
76705 Ultrasound, abdominal, real time with image documentation; limited 15 15 $212.17
96127 108 91 $198.07
99201 14 14 $184.33
J1030 Injection, methylprednisolone acetate, 40 mg 52 40 $171.06
90474 623 451 $116.58
11721 13 12 $111.48
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 15 $99.31
74018 14 13 $99.08
73130 22 15 $97.95
51798 16 15 $91.76
97597 37 20 $79.81
83655 483 467 $65.40
99153 Mod sedat endo service >5yrs 13 12 $36.20
85018 662 636 $24.91
J1885 Injection, ketorolac tromethamine, per 15 mg 48 45 $19.92
82962 13 13 $12.76
81003 26 26 $7.83
36416 201 195 $7.62
99172 26 24 $7.20
J1050 Injection, medroxyprogesterone acetate, 1 mg 54 54 $0.21
0502F 345 230 $0.00
90734 46 42 $0.00
90661 105 101 $0.00
G0444 Annual depression screening, 5 to 15 minutes 44 44 $0.00
90670 94 93 $0.00
90681 54 54 $0.00
90710 15 15 $0.00
90707 12 12 $0.00
90677 538 525 $0.00
90723 331 326 $0.00
90656 39 38 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 56 54 $0.00
90696 14 14 $0.00
90716 12 12 $0.00
90651 13 13 $0.00
99024 57 49 $0.00
90674 46 43 $0.00