Medicaid Provider Spending

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

MEDICAL HOME PRIMARY CARE CENTER

NPI: 1578870911 · ZANESVILLE, OH 43701 · Family Medicine Physician · NPI assigned 09/07/2010

$215K
Total Medicaid Paid
31,884
Total Claims
28,816
Beneficiaries
37
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialCROWDER, CHERYL (ADMINISTRATIVE DIRECTOR)
NPI Enumeration Date09/07/2010

Related Entities

Other providers sharing the same authorized official: CROWDER, CHERYL

ProviderCityStateTotal Paid
GERIATRIC ASSOCIATES OF ZANESVILLE CROOKSVILLE OH $21K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,825 $42K
2019 6,605 $48K
2020 7,324 $34K
2021 5,687 $31K
2022 4,310 $27K
2023 2,133 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,971 4,502 $152K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,042 954 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 948 861 $19K
99309 Subsequent nursing facility care, per day, low to moderate complexity 405 289 $2K
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 139 131 $1K
99307 245 196 $872.22
99442 37 25 $395.48
99441 46 40 $313.60
G9903 Patient screened for tobacco use and identified as a tobacco non-user 2,027 1,815 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 317 288 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,509 1,380 $0.00
1036F 4,187 3,761 $0.00
G8756 No documentation of blood pressure measurement, reason not given 90 77 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 860 765 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 1,002 913 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 320 290 $0.00
3017F 1,491 1,364 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 474 410 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 263 246 $0.00
3074F 13 13 $0.00
3014F 178 166 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 154 143 $0.00
G8432 Depression screening not documented, reason not given 366 329 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 99 88 $0.00
99318 13 13 $0.00
4004F 675 611 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 258 229 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,518 3,196 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,359 2,185 $0.00
G8482 Influenza immunization administered or previously received 951 855 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,289 1,178 $0.00
G8484 Influenza immunization was not administered, reason not given 737 669 $0.00
G8598 Aspirin or another antiplatelet therapy used 101 92 $0.00
3015F 391 364 $0.00
G8935 Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 263 239 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 119 112 $0.00
3078F 27 27 $0.00