Physician
Physicians Group of Southeastern Ohio INC
Physicians Group of Southeastern Ohio INC was paid $604K by Medicaid between Sep 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPHYSICIANS GROUP OF SOUTHEASTERN OHIO INC
ZANESVILLE, OH 43701
ZANESVILLE, OH 43701
33aNPI1528177730assigned 08/30/2006
33bProvider typeInternal Medicine Physician
28Total paid$604K
24GClaims29,122
24DCodes billed67
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#82 of 663
Median peer was paid$17K
This provider vs. median35×
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 | $0.00 | |
| 2023 | 453 | $9K | |
| 2024incomplete | 28,642 | $595K |
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 | 48% | 7,511 | 6,477 | $287K |
| 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% | 2,273 | 2,034 | $115K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.8% | 1,750 | 1,561 | $53K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 700 | 621 | $39K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 593 | 519 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 423 | 332 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 233 | 226 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 695 | 552 | $8K |
| 20610 | 1.0% | 212 | 136 | $6K | |
| 52000 | <1% | 75 | 65 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 785 | 719 | $4K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 32 | 24 | $3K |
55 more codes
| 92551 | <1% | 478 | $3K | |
| 90677 | <1% | 202 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 168 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 472 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $1K |
| 80061 | Lipid panel | <1% | 237 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 113 | $935.15 |
| 90671 | <1% | 158 | $934.60 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 237 | $881.65 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $841.88 |
| 80053 | Comprehensive metabolic panel | <1% | 166 | $830.70 |
| 73130 | <1% | 45 | $797.73 | |
| 36416 | <1% | 229 | $703.26 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 80 | $685.85 |
| 96127 | <1% | 172 | $674.76 | |
| 99173 | <1% | 281 | $672.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 13 | $661.15 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 227 | $626.68 |
| 73630 | <1% | 32 | $582.59 | |
| 73564 | <1% | 34 | $499.68 | |
| 51798 | <1% | 94 | $392.58 | |
| 99188 | <1% | 19 | $371.40 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 79 | $279.02 |
| 80076 | <1% | 118 | $208.42 | |
| 92552 | <1% | 14 | $197.26 | |
| 90698 | <1% | 207 | $174.93 | |
| 83721 | <1% | 27 | $141.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $136.00 |
| 81002 | <1% | 88 | $128.33 | |
| 90461 | <1% | 793 | $10.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,451 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 890 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,127 | $0.00 |
| 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) | 0% | 1,063 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 828 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 137 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 67 | $0.00 |
| 90473 | 0% | 16 | $0.00 | |
| 4004F | 0% | 28 | $0.00 | |
| 90680 | 0% | 134 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 331 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 47 | $0.00 |
| 1036F | 0% | 956 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 113 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 99 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 134 | $0.00 |
| 99024 | 0% | 189 | $0.00 | |
| 90660 | 0% | 13 | $0.00 | |
| 90656 | 0% | 93 | $0.00 | |
| 90686 | 0% | 72 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 114 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 29 | $0.00 |
| 90744 | 0% | 13 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 28 | $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 officialARMSTRONG, JACOB (CEO)