Physician
Southern Ohio Rheumatology INC
Southern Ohio Rheumatology INC was paid $25K by Medicaid between Jan 2018 and Jan 2020, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.
33Billing provider infoSOUTHERN OHIO RHEUMATOLOGY INC
WHEELERSBURG, OH 45694
WHEELERSBURG, OH 45694
33aNPI1588769061assigned 09/13/2006
33bProvider typeRheumatology Physician
28Total paid$25K
24GClaims3,004
24DCodes billed16
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Rheumatology Physician providers in Ohio
Rank by total paid#11 of 21
Median peer was paid$25K
This provider vs. median1.0×
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 | 993 | $14K | |
| 2019 | 1,998 | $10K | |
| 2020 | 13 | $449.65 |
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 | 83% | 1,222 | 1,181 | $21K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6.1% | 235 | 207 | $2K |
| 20611 | 5.7% | 138 | 102 | $1K | |
| 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 | 3.8% | 56 | 53 | $942.04 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 1.2% | 153 | 140 | $292.77 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 12 | 12 | $0.00 |
| 1000F | 0% | 26 | 25 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 116 | 110 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 150 | 142 | $0.00 |
| 4040F | 0% | 49 | 44 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 464 | 440 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 125 | 117 | $0.00 |
4 more codes
| G8484 | Influenza immunization was not administered, reason not given | 0% | 42 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 163 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 35 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 18 | $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 officialKATARIA, RAJESH (OWNER)