Behavioral
Bellefonte Physician Services, INC
Bellefonte Physician Services, INC was paid $375K by Medicaid between Jan 2018 and Apr 2020, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoBELLEFONTE PHYSICIAN SERVICES, INC
IRONTON, OH 45638
IRONTON, OH 45638
33aNPI1538324454assigned 07/21/2008
33bProvider typeClinical Social Worker
28Total paid$375K
24GClaims24,250
24DCodes billed34
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Clinical Social Worker providers in Ohio
Rank by total paid#34 of 347
Median peer was paid$29K
This provider vs. median13×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CONNETT, TROY controls 20+ related entities in our dataset. Read more
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 | 10,294 | $172K | |
| 2019 | 11,724 | $164K | |
| 2020 | 2,232 | $40K |
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 | 75% | 6,477 | 5,956 | $281K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,672 | 2,338 | $85K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 378 | 340 | $3K |
| 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 | <1% | 307 | 296 | $3K |
| 90688 | <1% | 128 | 120 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | 34 | $660.86 |
| 99441 | <1% | 38 | 35 | $415.63 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 59 | 59 | $344.16 |
| 90656 | <1% | 16 | 15 | $153.85 | |
| 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% | 26 | 26 | $46.76 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 13 | 13 | $40.88 |
| 81003 | <1% | 28 | 25 | $39.36 |
22 more codes
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | $12.10 |
| 1090F | 0% | 524 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,460 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,241 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,304 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 266 | $0.00 |
| 3046F | 0% | 137 | $0.00 | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 45 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 457 | $0.00 |
| 2022F | 0% | 423 | $0.00 | |
| G8400 | Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given | 0% | 90 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 827 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 294 | $0.00 |
| 3017F | 0% | 1,661 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,577 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 491 | $0.00 |
| 1101F | 0% | 620 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 1,183 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 43 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 73 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 293 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 51 | $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 officialCONNETT, TROY (DIRECTOR OF FINANCE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.