Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Marion Area Physicians LLC

Marion Area Physicians LLC was paid $15.70M by Medicaid between Jan 2018 and Dec 2024, across 185 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoMARION AREA PHYSICIANS LLC
MARION, OH 43302
33aNPI1619230802assigned 06/21/2012
33bProvider typePediatrics Physician
28Total paid$15.70M
24GClaims573,259
24DCodes billed185
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Ohio

Rank by total paid#4 of 401
Median peer was paid$30K
This provider vs. median532×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201869,863$2.36M
201968,100$2.37M
202055,872$1.87M
202168,000$2.40M
202271,337$2.40M
2023137,573$2.41M
2024incomplete102,514$1.88M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 29% 91,086 85,655 $4.54M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 124,095 115,061 $4.36M
90460 Immunization administration through 18 years of age via any route, first or only component 5.9% 28,323 22,893 $924K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.8% 16,937 16,274 $760K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.4% 11,514 10,804 $688K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.7% 11,328 10,480 $585K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.7% 5,892 5,631 $421K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 5,185 5,015 $306K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.5% 32,004 26,647 $230K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 5,793 5,545 $189K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.1% 3,266 2,919 $166K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.0% 7,805 7,209 $158K
173 more codes
90670 <1% 8,044 $156K
99243 <1% 2,869 $151K
17110 <1% 2,459 $132K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,025 $132K
99232 Hospital visit by a doctor, follow-up day <1% 6,488 $132K
90837 Psychotherapy session, about an hour <1% 1,905 $112K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 918 $104K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 992 $89K
20610 <1% 2,145 $74K
99223 Prolong inpt eval add15 m <1% 1,223 $73K
99244 Office or other outpatient consultation, moderate to high complexity <1% 1,034 $70K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,078 $70K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,057 $65K
99239 Hospital discharge day management, more than 30 minutes <1% 1,529 $53K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,666 $52K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 159 $47K
90633 <1% 3,435 $38K
92557 <1% 1,431 $34K
97802 <1% 487 $32K
99442 <1% 1,977 $30K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 297 $29K
90682 <1% 551 $27K
V5261 Hearing aid, digital, binaural, bte <1% 55 $27K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,072 $26K
11102 <1% 687 $26K
95886 <1% 962 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,745 $22K
90648 <1% 6,927 $22K
99222 Initial hospital care, per day, moderate complexity <1% 629 $20K
90686 <1% 5,576 $20K
31231 <1% 257 $16K
99205 Prolong outpt/office vis <1% 204 $15K
11721 <1% 1,906 $15K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 2,360 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 976 $15K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,402 $15K
99381 <1% 275 $15K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 391 $14K
93296 <1% 1,069 $13K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 134 $13K
92550 <1% 1,324 $12K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 275 $12K
95251 <1% 744 $12K
90723 <1% 5,257 $11K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 71 $10K
93295 <1% 333 $10K
88307 <1% 382 $10K
92587 <1% 509 $10K
11100 <1% 250 $9K
90832 Psychotherapy session, about 30 minutes <1% 245 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 926 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 338 $8K
31575 <1% 168 $8K
93971 <1% 147 $7K
99441 <1% 921 $7K
97803 <1% 193 $7K
93922 <1% 192 $6K
17000 <1% 269 $6K
93018 <1% 688 $6K
93016 <1% 381 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 81 $5K
99219 <1% 150 $5K
93298 <1% 288 $5K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 278 $5K
V5160 Dispensing fee, binaural <1% 58 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 1,071 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 83 $5K
90680 <1% 5,865 $5K
64493 <1% 153 $5K
62323 <1% 37 $4K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 242 $4K
90716 <1% 260 $4K
93308 <1% 283 $3K
90651 <1% 646 $3K
00731 <1% 37 $3K
99406 <1% 511 $3K
99242 <1% 86 $3K
11900 <1% 110 $3K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 430 $3K
99443 <1% 160 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 163 $3K
0071A <1% 31 $3K
64494 <1% 194 $3K
0072A <1% 28 $3K
01936 <1% 92 $3K
95811 <1% 47 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 209 $3K
93299 <1% 138 $3K
93294 <1% 138 $2K
88304 <1% 422 $2K
92567 <1% 195 $2K
94729 <1% 661 $2K
94726 <1% 655 $2K
90707 <1% 234 $2K
99383 <1% 40 $2K
94060 <1% 174 $2K
96127 <1% 423 $2K
90677 <1% 1,337 $2K
76801 <1% 25 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 73 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 14 $2K
31653 <1% 15 $2K
00170 Anesthesia for intraoral procedures, including biopsy <1% 12 $2K
54150 <1% 57 $2K
95908 <1% 26 $2K
93000 <1% 165 $2K
0002A <1% 38 $2K
00813 <1% 13 $1K
90673 <1% 43 $1K
90734 <1% 343 $1K
99245 <1% 12 $1K
81002 <1% 722 $1K
76830 Ultrasound, transvaginal <1% 17 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 62 $1K
93321 <1% 314 $1K
69210 <1% 54 $1K
88342 <1% 101 $1K
95910 <1% 13 $1K
90834 Psychotherapy session, about 45 minutes <1% 30 $907.63
99254 <1% 14 $888.83
90961 <1% 172 $865.53
99253 <1% 16 $846.63
90715 <1% 116 $733.22
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 15 $733.15
11104 <1% 13 $685.58
51798 <1% 83 $679.41
29540 <1% 39 $660.58
J1030 Injection, methylprednisolone acetate, 40 mg <1% 68 $607.29
97597 <1% 46 $588.71
11720 <1% 281 $538.56
99459 <1% 36 $523.65
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 377 $514.16
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 26 $513.54
93325 <1% 207 $475.59
90685 <1% 407 $428.50
36415 Collection of venous blood by venipuncture <1% 66 $424.06
31624 <1% 13 $292.30
94010 <1% 48 $271.87
59025 Fetal non-stress test <1% 14 $253.13
94618 <1% 15 $181.08
90619 <1% 143 $161.07
99201 <1% 13 $151.44
90697 <1% 1,871 $142.06
99307 <1% 33 $90.55
95806 <1% 12 $87.64
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 14 $83.38
90472 Immunization administration, each additional vaccine (list separately) <1% 15 $75.95
90656 <1% 466 $72.18
90710 <1% 230 $50.00
90696 <1% 171 $40.00
81003 <1% 19 $32.79
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 1,770 $17.82
91300 <1% 128 $1.24
91307 <1% 65 $0.57
3078F 0% 23,336 $0.00
1160F 0% 32,853 $0.00
1159F 0% 6,627 $0.00
4004F 0% 224 $0.00
3077F 0% 1,249 $0.00
90700 0% 40 $0.00
90461 0% 71 $0.00
96381 0% 15 $0.00
1036F 0% 16,378 $0.00
3079F 0% 8,447 $0.00
3074F 0% 28,193 $0.00
3075F 0% 1,655 $0.00
1125F 0% 42 $0.00
1111F 0% 124 $0.00
3080F 0% 369 $0.00
90962 0% 13 $0.00
3044F 0% 176 $0.00
G0008 Administration of influenza virus vaccine 0% 14 $0.00
90381 0% 15 $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 officialHAINEY, HEATHER (CREDENTIALING SUPERVISOR)
Same official

Other billing entities under HAINEY, HEATHER

Full network →
ProviderLocationPaid
Ohiohealth CorporationColumbus, OH$88.93M
Ohiohealth Urgent Care LLCDublin, OH$13.45M
Ohiohealth Regional Physician Services, LLCDublin, OH$1.81M
Ohiohealth CorporationColumbus, OH$68K
Ohiohealth Employer Services, LLCColumbus, OH$716.91

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.