Clinic
Orrville Hospital Foundation
Orrville Hospital Foundation was paid $1.49M by Medicaid between Jan 2018 and Oct 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 50% of everything it billed.
33Billing provider infoORRVILLE HOSPITAL FOUNDATION
ORRVILLE, OH 44667
ORRVILLE, OH 44667
33aNPI1609231307assigned 12/22/2015
33bProvider typeRural Health Clinic/Center
28Total paid$1.49M
24GClaims68,676
24DCodes billed29
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Ohio
Rank by total paid#5 of 58
Median peer was paid$70K
This provider vs. median21×
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 | 11,876 | $231K | |
| 2019 | 9,088 | $206K | |
| 2020 | 7,982 | $205K | |
| 2021 | 10,877 | $288K | |
| 2022 | 10,702 | $250K | |
| 2023 | 12,152 | $211K | |
| 2024incomplete | 5,999 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 50% | 27,304 | 20,675 | $748K |
| 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 | 25% | 13,334 | 8,734 | $366K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 20,195 | 12,090 | $362K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 576 | 471 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 124 | 68 | $979.18 |
| 90686 | <1% | 127 | 71 | $803.94 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 21 | 15 | $773.55 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 20 | 13 | $663.90 |
| 0012A | <1% | 21 | 13 | $479.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 39 | 25 | $410.05 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 82 | 38 | $373.54 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 109 | 79 | $306.00 |
17 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 152 | $161.82 |
| 99441 | <1% | 29 | $146.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 258 | $49.50 |
| 3008F | 0% | 3,012 | $0.00 | |
| 1125F | 0% | 284 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 84 | $0.00 |
| 1036F | 0% | 1,506 | $0.00 | |
| 1034F | 0% | 127 | $0.00 | |
| 1126F | 0% | 737 | $0.00 | |
| 3074F | 0% | 71 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 46 | $0.00 |
| 91301 | 0% | 58 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 16 | $0.00 |
| 81003 | 0% | 87 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 76 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 70 | $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% | 111 | $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 officialSTEWART, MATTHEW (CFO)
| Provider | Location | Paid |
|---|---|---|
| Ohio Physician Professional Corporation | Canton, OH | $3.24M |
| Aultman North Canton Medical Group | North Canton, OH | $1.65M |
| Ohio Specialty Physicians Corporation | Canton, OH | $398K |
| Orrville Hospital Foundation | Dalton, OH | $374K |
| Orrville Hospital Foundation | Apple Creek, OH | $186K |
| Aultman Medical Group, INC | Canton, OH | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.