Obstetrics and Gynecology Associates INC

Obstetrics and Gynecology Associates INC was paid $2.25M by Medicaid between Jan 2018 and Dec 2023, across 30 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 48% of everything it billed.

33Billing provider infoOBSTETRICS AND GYNECOLOGY ASSOCIATES INC
FAIRFIELD, OH 45014

33aNPI1598714180assigned 05/09/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$2.25M

24GClaims54,106

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Ohio

Rank by total paid#16 of 204

Median peer was paid$47K

This provider vs. median48×

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	8,212	$337K
2019	8,328	$336K
2020	8,408	$359K
2021	9,354	$378K
2022	10,668	$431K
2023	9,136	$405K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	48%	22,574	16,694	$1.08M
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	30%	10,720	10,066	$675K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	7,653	7,020	$300K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	2.3%	824	787	$52K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.5%	560	554	$33K
81025		1.3%	4,586	4,346	$28K
81002		<1%	5,456	5,298	$13K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	<1%	147	124	$10K
76830	Ultrasound, transvaginal	<1%	129	122	$8K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	<1%	12	12	$8K
H1000	Prenatal care, at-risk assessment	<1%	90	60	$7K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	404	372	$6K

18 more codes

76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	60	$4K
76819	Fetal biophysical profile; without non-stress testing	<1%	53	$4K
99204	Doctor's office visit, new patient (more involved)	<1%	42	$3K
59025	Fetal non-stress test	<1%	108	$2K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	30	$2K
87529		<1%	51	$2K
90686		<1%	109	$2K
99203	Doctor's office visit, new patient (routine)	<1%	27	$1K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	52	$1K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	51	$1K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	51	$877.82
90688		<1%	57	$854.36
90674		<1%	29	$658.52
87660		<1%	29	$524.03
87480		<1%	28	$502.37
87510		<1%	28	$502.37
87640		<1%	26	$339.77
87511		<1%	120	$318.48

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 officialROSE, PATRICIA (EHR/IT COORDINATOR)