Physician
Cleanslate Medical Group of Ohio LLC
Cleanslate Medical Group of Ohio LLC was paid $9.53M by Medicaid between Apr 2019 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoCLEANSLATE MEDICAL GROUP OF OHIO LLC
MORAINE, OH 45439
MORAINE, OH 45439
33aNPI1558800193assigned 02/15/2017
33bProvider typeAddiction Medicine (Internal Medicine) Physician
28Total paid$9.53M
24GClaims128,225
24DCodes billed22
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Addiction Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#2 of 10
Median peer was paid$73K
This provider vs. median130×
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 | |
|---|---|---|---|
| 2019 | 4,662 | $202K | |
| 2020 | 16,302 | $851K | |
| 2021 | 19,606 | $1.04M | |
| 2022 | 32,013 | $2.75M | |
| 2023 | 34,084 | $2.78M | |
| 2024incomplete | 21,558 | $1.90M |
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 | 64% | 69,894 | 40,146 | $6.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 35,364 | 24,183 | $2.44M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.4% | 9,948 | 6,376 | $511K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.2% | 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% | 1,053 | 875 | $51K |
| 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 | <1% | 443 | 401 | $44K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 331 | 301 | $33K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 262 | 212 | $18K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 112 | 87 | $10K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 114 | 86 | $8K |
| 81025 | <1% | 1,776 | 1,579 | $7K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 99 | 98 | $7K |
10 more codes
| Q3014 | Telehealth originating site facility fee | <1% | 145 | $3K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 39 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 72 | $2K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 51 | $2K |
| 99406 | <1% | 236 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $614.79 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 29 | $246.20 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $188.24 |
| 86803 | <1% | 29 | $145.31 | |
| 87340 | <1% | 29 | $94.71 |
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 officialSMOLAREK, MATTHEW (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.