Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Cambridge › NPI 1477635480
Physician

Southeastern Ohio Physicians, INC.

Southeastern Ohio Physicians, INC. was paid $77K by Medicaid between Jan 2018 and Mar 2024, across 16 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 23% of everything it billed.

33Billing provider infoSOUTHEASTERN OHIO PHYSICIANS, INC.
CAMBRIDGE, OH 43725
33aNPI1477635480assigned 10/19/2006
33bProvider typeSurgery Physician
28Total paid$77K
24GClaims2,284
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Surgery Physician providers in Ohio

Rank by total paid#23 of 82
Median peer was paid$14K
This provider vs. median5.5×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018513$16K
2019532$12K
2020294$10K
2021407$15K
2022264$10K
2023240$11K
2024incomplete34$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 23% 269 251 $18K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23% 400 392 $18K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 525 493 $16K
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 19% 320 306 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 7.0% 60 56 $5K
99243 2.1% 35 33 $2K
99152 1.7% 164 159 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.2% 13 13 $914.22
99244 Office or other outpatient consultation, moderate to high complexity 1.1% 12 12 $856.43
99153 Mod sedat endo service >5yrs <1% 161 153 $552.97
99221 <1% 28 25 $549.10
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 177 165 $0.00
4 more codes
1124F 0% 24 $0.00
3017F 0% 70 $0.00
1036F 0% 13 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 13 $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 officialNEFF, DEBRA (OFFICE MANAGER)