Prather, Paxton
Prather, Paxton was paid $85K by Medicaid between Jul 2023 and Nov 2024, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 52% of everything it billed.
33Billing provider infoPRATHER, PAXTON
DAYTON, OH 45409
DAYTON, OH 45409
33aNPI1558990895assigned 04/08/2020
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$85K
24GClaims1,325
24DCodes billed3
24AFirst – last monthJul 2023 – Nov 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Ohio
Rank by total paid#18 of 290
Median peer was paid$5K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2023 | 353 | $22K | |
| 2024incomplete | 972 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 52% | 561 | 561 | $44K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 45% | 680 | 673 | $38K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.3% | 84 | 84 | $3K |
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.