Pickaway Health Services
Pickaway Health Services was paid $1.15M by Medicaid between Jan 2018 and Oct 2020, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoPICKAWAY HEALTH SERVICES
CIRCLEVILLE, OH 43113
CIRCLEVILLE, OH 43113
33aNPI1568569903assigned 09/20/2006
33bProvider typeSpecialist
28Total paid$1.15M
24GClaims34,063
24DCodes billed37
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Specialist providers in Ohio
Rank by total paid#19 of 219
Median peer was paid$46K
This provider vs. median25×
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 | 13,946 | $474K | |
| 2019 | 11,983 | $419K | |
| 2020 | 8,134 | $255K |
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 | 51% | 14,529 | 11,391 | $586K |
| 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 | 32% | 7,847 | 7,049 | $368K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 1,770 | 1,604 | $43K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.5% | 2,835 | 2,197 | $40K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.3% | 180 | 167 | $15K |
| 99442 | 1.1% | 619 | 574 | $12K | |
| 59025 | Fetal non-stress test | <1% | 497 | 238 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 498 | 446 | $7K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 13 | 12 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 848 | 763 | $6K |
| 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% | 79 | 71 | $6K |
| 90682 | <1% | 164 | 150 | $5K |
25 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 384 | $5K |
| 99443 | <1% | 170 | $5K | |
| 11043 | <1% | 131 | $4K | |
| 80305 | <1% | 466 | $4K | |
| 95251 | <1% | 209 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 71 | $3K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 59 | $3K |
| 81025 | <1% | 369 | $2K | |
| 90688 | <1% | 162 | $2K | |
| 82962 | <1% | 1,115 | $2K | |
| 99460 | <1% | 35 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 14 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 624 | $961.24 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 130 | $883.58 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $781.53 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 19 | $759.11 |
| 99441 | <1% | 67 | $679.11 | |
| 94060 | <1% | 34 | $374.00 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 28 | $272.41 |
| 99306 | Prolong nursin fac eval 15m | <1% | 14 | $239.56 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $180.06 |
| 99305 | <1% | 16 | $140.37 | |
| 99406 | <1% | 13 | $100.41 | |
| 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% | 13 | $41.57 |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $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 officialTAYLOR, CANDI (ADMINISTRATIVE ASSISTANT)