Physician
Medical Home Primary Care Center
Medical Home Primary Care Center was paid $215K by Medicaid between Jan 2018 and Dec 2023, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoMEDICAL HOME PRIMARY CARE CENTER
ZANESVILLE, OH 43701
ZANESVILLE, OH 43701
33aNPI1578870911assigned 09/07/2010
33bProvider typeFamily Medicine Physician
28Total paid$215K
24GClaims31,884
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#160 of 739
Median peer was paid$30K
This provider vs. median7.3×
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 | 5,825 | $42K | |
| 2019 | 6,605 | $48K | |
| 2020 | 7,324 | $34K | |
| 2021 | 5,687 | $31K | |
| 2022 | 4,310 | $27K | |
| 2023 | 2,133 | $33K |
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 | 70% | 4,971 | 4,502 | $152K |
| 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 | 18% | 1,042 | 954 | $40K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.9% | 948 | 861 | $19K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.0% | 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 | <1% | 139 | 131 | $1K |
| 99307 | <1% | 245 | 196 | $872.22 | |
| 99442 | <1% | 37 | 25 | $395.48 | |
| 99441 | <1% | 46 | 40 | $313.60 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 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) | 0% | 317 | 288 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,509 | 1,380 | $0.00 |
| 1036F | 0% | 4,187 | 3,761 | $0.00 |
25 more codes
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 90 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 860 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 1,002 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 320 | $0.00 |
| 3017F | 0% | 1,491 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 474 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 263 | $0.00 |
| 3074F | 0% | 13 | $0.00 | |
| 3014F | 0% | 178 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 154 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 366 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 99 | $0.00 |
| 99318 | 0% | 13 | $0.00 | |
| 4004F | 0% | 675 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 258 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,518 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,359 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 951 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,289 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 737 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 101 | $0.00 |
| 3015F | 0% | 391 | $0.00 | |
| G8935 | Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 263 | $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) | 0% | 119 | $0.00 |
| 3078F | 0% | 27 | $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 officialCROWDER, CHERYL (ADMINISTRATIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Geriatric Associates of Zanesville | Crooksville, OH | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.