Medicaid Provider Spending

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

FAMILY HEALTH CARE OF NORTHWEST OHIO, INC

NPI: 1568646560 · VAN WERT, OH 45891 · Community/Behavioral Health Agency · NPI assigned 12/27/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, JENNIFER controls 18+ related entities in our dataset. Read more

$6.21M
Total Medicaid Paid
245,300
Total Claims
157,783
Beneficiaries
78
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, JENNIFER (EXECUTIVE DIRECTOR)
NPI Enumeration Date12/27/2007

Related Entities

Other providers sharing the same authorized official: SMITH, JENNIFER

ProviderCityStateTotal Paid
PRIMARY CONNECTION HEALTH CARE, INC. WAUSAU WI $11.48M
BEDFORD SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES SOMERSET PA $8.33M
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES SOMERSET PA $5.67M
BEDFORD SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES SOMERSET PA $3.30M
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES SOMERSET PA $2.81M
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES BEDFORD PA $439K
AMANDA-CLEARCREEK LOCAL SCHOOL DISTRICT AMANDA OH $232K
THE SPORTS MEDICINE SHOP, INC ANDERSON SC $205K
MANDALA THERAPEUTIC SERVICES ASHLAND KY $163K
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES SOMERSET PA $107K
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES BEDFORD PA $88K
PROGRESSIVE PHYSICAL THERAPY LLC BENNINGTON VT $54K
ACTIVE CARE CHIROPRACTIC CHATTANOOGA TN $32K
MALCOLM DEREK SMITH, DPM PC PONCA CITY OK $26K
SHELBY CHIROPRACTIC PLLC SHELBY NC $4K
TWIN RIVER CHIROPRACTIC SMITHFIELD RI $3K
HEALTH AND WELLNESS CHIROPRACTIC CENTER PA ORANGE CITY FL $2K
BRYAN D FULLER MD PA CONWAY AR $431.86

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36,698 $844K
2019 42,991 $945K
2020 34,999 $772K
2021 43,431 $994K
2022 29,774 $855K
2023 35,680 $1.07M
2024 21,727 $734K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 55,168 42,178 $3.87M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,012 22,868 $799K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,625 6,513 $313K
D1110 Prophylaxis - adult 8,751 5,704 $169K
D0120 Periodic oral evaluation - established patient 12,730 8,223 $130K
D0150 Comprehensive oral evaluation - new or established patient 6,179 3,890 $91K
D1120 Prophylaxis - child 7,381 4,758 $88K
D7140 Extraction, erupted tooth or exposed root 2,004 782 $86K
90460 Immunization administration through 18 years of age via any route, first or only component 9,695 2,650 $75K
90832 Psychotherapy, 30 minutes with patient 3,954 2,192 $71K
D0140 Limited oral evaluation - problem focused 5,235 3,153 $56K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,059 703 $55K
D1208 Topical application of fluoride, excluding varnish 7,751 4,501 $54K
D0274 Bitewings - four radiographic images 4,764 3,042 $53K
D2391 Resin-based composite - one surface, posterior, primary or permanent 764 540 $38K
D1206 Topical application of fluoride varnish 1,852 1,571 $33K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,033 590 $26K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 834 492 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 610 344 $18K
D2150 Silver amalgam - two surfaces, primary or permanent 766 383 $18K
90792 Psychiatric diagnostic evaluation with medical services 432 237 $18K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 674 364 $17K
D0272 Bitewings - two radiographic images 3,375 2,140 $17K
D2140 977 513 $16K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,035 858 $13K
D0220 Intraoral - periapical first radiographic image 4,207 2,706 $12K
D0230 Intraoral - periapical each additional radiographic image 1,967 851 $8K
D2931 137 65 $8K
D0330 Panoramic radiographic image 565 357 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 556 296 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 445 290 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 379 226 $3K
90688 290 167 $3K
0011A 57 56 $2K
0012A 49 48 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 326 214 $2K
D0210 Intraoral - complete series of radiographic images 95 74 $1K
0064A 26 26 $1K
83036 Hemoglobin; glycosylated (A1C) 362 231 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 206 124 $889.50
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 184 114 $794.24
90686 1,073 603 $667.14
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 191 142 $638.53
99406 2,640 1,796 $366.36
82962 396 256 $283.37
90670 432 281 $230.63
D0270 48 37 $157.50
99188 15 13 $150.00
90633 227 142 $139.65
81025 72 53 $78.00
81002 137 126 $22.22
97802 4,427 2,765 $20.58
96127 4,929 3,489 $19.85
91301 217 210 $1.91
90648 312 209 $0.23
90710 114 65 $0.16
90723 154 107 $0.11
90696 80 43 $0.07
91306 12 12 $0.06
90651 41 27 $0.05
90685 18 13 $0.03
90734 45 26 $0.02
98960 4,857 3,033 $0.00
S9470 Nutritional counseling, dietitian visit 13,516 9,299 $0.00
3016F 4,208 2,959 $0.00
4004F 2,544 1,765 $0.00
1003F 902 775 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,135 849 $0.00
3045F 16 12 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,181 881 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,481 2,518 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 156 102 $0.00
D2330 46 25 $0.00
3074F 64 43 $0.00
3044F 33 28 $0.00
3079F 40 18 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 12 12 $0.00
D2331 18 15 $0.00