Clinic
Prospect Family Medicine, INC.
Prospect Family Medicine, INC. was paid $1.32M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoPROSPECT FAMILY MEDICINE, INC.
PROSPECT, OH 43342
PROSPECT, OH 43342
33aNPI1487895967assigned 03/13/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$1.32M
24GClaims46,742
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Ohio
Rank by total paid#10 of 118
Median peer was paid$67K
This provider vs. median20×
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 | 9,004 | $212K | |
| 2019 | 7,600 | $200K | |
| 2020 | 8,561 | $208K | |
| 2021 | 7,437 | $221K | |
| 2022 | 7,150 | $198K | |
| 2023 | 4,091 | $165K | |
| 2024incomplete | 2,899 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 69% | 22,235 | 9,777 | $905K |
| 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 | 15% | 3,368 | 2,626 | $202K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 11% | 15,934 | 10,888 | $146K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.7% | 3,560 | 2,517 | $49K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.1% | 1,208 | 706 | $14K |
| 99304 | <1% | 190 | 177 | $2K | |
| 99334 | <1% | 131 | 92 | $637.86 | |
| 99307 | <1% | 48 | 43 | $411.82 | |
| 99348 | <1% | 18 | 14 | $141.96 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 30 | 29 | $58.51 |
| 99409 | 0% | 20 | 12 | $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 officialPIACENTINI, MARK (PRESIDENT)