Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CLEANSLATE MEDICAL GROUP OF OHIO LLC

NPI: 1558800193 · MORAINE, OH 45439 · Addiction Medicine (Internal Medicine) Physician · NPI assigned 02/15/2017

$9.53M
Total Medicaid Paid
128,225
Total Claims
79,882
Beneficiaries
22
Codes Billed
2019-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMOLAREK, MATTHEW (CFO)
NPI Enumeration Date02/15/2017

Related Entities

Other providers sharing the same authorized official: SMOLAREK, MATTHEW

ProviderCityStateTotal Paid
CLEANSLATE MEDICAL GROUP OF INDIANA LLC ALEXANDRIA IN $79.21M
TOTAL WELLNESS CENTERS, LLC HOLYOKE MA $77.17M
TOTAL WELLNESS CENTERS, LLC WEST SPRINGFIELD MA $38.42M
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC WILKES BARRE PA $18.61M
CLEANSLATE MEDICAL GROUP OF WISCONSIN, SC GLENDALE WI $17.13M
CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC LOUISVILLE KY $10.48M
CLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC MECHANICSVILLE VA $4.28M
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC GILBERT AZ $955K
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC PHOENIX AZ $248K
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC PHOENIX AZ $101K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 4,662 $202K
2020 16,302 $851K
2021 19,606 $1.04M
2022 32,013 $2.75M
2023 34,084 $2.78M
2024 21,558 $1.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 69,894 40,146 $6.09M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35,364 24,183 $2.44M
90832 Psychotherapy, 30 minutes with patient 9,948 6,376 $511K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,157 4,948 $307K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,053 875 $51K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 443 401 $44K
90791 Psychiatric diagnostic evaluation 331 301 $33K
90834 Psychotherapy, 45 minutes with patient 262 212 $18K
99215 Prolong outpt/office vis 112 87 $10K
90837 Psychotherapy, 53 minutes with patient 114 86 $8K
81025 1,776 1,579 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 99 98 $7K
Q3014 Telehealth originating site facility fee 145 129 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 39 26 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 72 69 $2K
H0038 Self-help/peer services, per 15 minutes 51 45 $2K
99406 236 202 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 26 $614.79
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 29 27 $246.20
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 12 $188.24
86803 29 27 $145.31
87340 29 27 $94.71