Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › MARION › MARION AREA PHYSICIANS LLC

MARION AREA PHYSICIANS LLC

NPI: 1619230802 · MARION, OH 43302 · Pediatrics Physician · NPI assigned 06/21/2012

$15.70M
Total Medicaid Paid
573,259
Total Claims
522,593
Beneficiaries
185
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAINEY, HEATHER (CREDENTIALING SUPERVISOR)
NPI Enumeration Date06/21/2012

Related Entities

Other providers sharing the same authorized official: HAINEY, HEATHER

ProviderCityStateTotal Paid
OHIOHEALTH CORPORATION COLUMBUS OH $88.93M
OHIOHEALTH URGENT CARE LLC DUBLIN OH $13.45M
OHIOHEALTH REGIONAL PHYSICIAN SERVICES, LLC DUBLIN OH $1.81M
OHIOHEALTH CORPORATION COLUMBUS OH $68K
OHIOHEALTH EMPLOYER SERVICES, LLC COLUMBUS OH $716.91

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69,863 $2.36M
2019 68,100 $2.37M
2020 55,872 $1.87M
2021 68,000 $2.40M
2022 71,337 $2.40M
2023 137,573 $2.41M
2024 102,514 $1.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 91,086 85,655 $4.54M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 124,095 115,061 $4.36M
90460 Immunization administration through 18 years of age via any route, first or only component 28,323 22,893 $924K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16,937 16,274 $760K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,514 10,804 $688K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,328 10,480 $585K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,892 5,631 $421K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,185 5,015 $306K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 32,004 26,647 $230K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,793 5,545 $189K
99215 Prolong outpt/office vis 3,266 2,919 $166K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,805 7,209 $158K
90670 8,044 7,434 $156K
99243 2,869 2,779 $151K
17110 2,459 2,238 $132K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,025 1,947 $132K
99232 Subsequent hospital care, per day, moderate complexity 6,488 3,042 $132K
90837 Psychotherapy, 53 minutes with patient 1,905 1,482 $112K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 918 903 $104K
J1050 Injection, medroxyprogesterone acetate, 1 mg 992 889 $89K
20610 2,145 1,901 $74K
99223 Prolong inpt eval add15 m 1,223 1,133 $73K
99244 Office or other outpatient consultation, moderate to high complexity 1,034 1,001 $70K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,078 2,021 $70K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,057 1,013 $65K
99239 Hospital discharge day management, more than 30 minutes 1,529 1,416 $53K
99233 Prolong inpt eval add15 m 1,666 773 $52K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 159 158 $47K
90633 3,435 3,148 $38K
92557 1,431 1,280 $34K
97802 487 463 $32K
99442 1,977 1,852 $30K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 297 277 $29K
90682 551 535 $27K
V5261 Hearing aid, digital, binaural, bte 55 35 $27K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,072 973 $26K
11102 687 667 $26K
95886 962 919 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,745 1,544 $22K
90648 6,927 6,492 $22K
99222 Initial hospital care, per day, moderate complexity 629 572 $20K
90686 5,576 5,129 $20K
31231 257 243 $16K
99205 Prolong outpt/office vis 204 199 $15K
11721 1,906 1,822 $15K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,360 2,146 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 976 923 $15K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,402 512 $15K
99381 275 263 $15K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 391 360 $14K
93296 1,069 1,028 $13K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 134 134 $13K
92550 1,324 1,201 $12K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 275 117 $12K
95251 744 710 $12K
90723 5,257 4,936 $11K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 71 71 $10K
93295 333 322 $10K
88307 382 353 $10K
92587 509 490 $10K
11100 250 239 $9K
90832 Psychotherapy, 30 minutes with patient 245 180 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 926 865 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 338 325 $8K
31575 168 166 $8K
93971 147 140 $7K
99441 921 788 $7K
97803 193 175 $7K
93922 192 186 $6K
17000 269 243 $6K
93018 688 640 $6K
93016 381 352 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 81 76 $5K
99219 150 147 $5K
93298 288 279 $5K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 278 265 $5K
V5160 Dispensing fee, binaural 58 36 $5K
83036 Hemoglobin; glycosylated (A1C) 1,071 1,037 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters 83 82 $5K
90680 5,865 5,454 $5K
64493 153 144 $5K
62323 37 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 242 238 $4K
90716 260 226 $4K
93308 283 272 $3K
90651 646 628 $3K
00731 37 37 $3K
99406 511 477 $3K
99242 86 86 $3K
11900 110 103 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 430 412 $3K
99443 160 149 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 163 153 $3K
0071A 31 31 $3K
64494 194 142 $3K
0072A 28 28 $3K
01936 92 90 $3K
95811 47 40 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 209 205 $3K
93299 138 133 $3K
93294 138 138 $2K
88304 422 396 $2K
92567 195 180 $2K
94729 661 637 $2K
94726 655 631 $2K
90707 234 199 $2K
99383 40 37 $2K
94060 174 151 $2K
96127 423 349 $2K
90677 1,337 1,273 $2K
76801 25 24 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 73 73 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 14 $2K
31653 15 13 $2K
00170 Anesthesia for intraoral procedures, including biopsy 12 12 $2K
54150 57 53 $2K
95908 26 24 $2K
93000 165 145 $2K
0002A 38 38 $2K
00813 13 13 $1K
90673 43 39 $1K
90734 343 328 $1K
99245 12 12 $1K
81002 722 692 $1K
76830 Ultrasound, transvaginal 17 17 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 62 60 $1K
93321 314 301 $1K
69210 54 49 $1K
88342 101 95 $1K
95910 13 13 $1K
90834 Psychotherapy, 45 minutes with patient 30 28 $907.63
99254 14 13 $888.83
90961 172 161 $865.53
99253 16 13 $846.63
90715 116 112 $733.22
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 15 $733.15
11104 13 13 $685.58
51798 83 81 $679.41
29540 39 31 $660.58
J1030 Injection, methylprednisolone acetate, 40 mg 68 66 $607.29
97597 46 26 $588.71
11720 281 263 $538.56
99459 36 35 $523.65
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 377 330 $514.16
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 26 25 $513.54
93325 207 201 $475.59
90685 407 402 $428.50
36415 Collection of venous blood by venipuncture 66 60 $424.06
31624 13 12 $292.30
94010 48 44 $271.87
59025 Fetal non-stress test 14 13 $253.13
94618 15 13 $181.08
90619 143 140 $161.07
99201 13 13 $151.44
90697 1,871 1,675 $142.06
99307 33 30 $90.55
95806 12 12 $87.64
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14 14 $83.38
90472 Immunization administration, each additional vaccine (list separately) 15 15 $75.95
90656 466 456 $72.18
90710 230 222 $50.00
90696 171 163 $40.00
81003 19 16 $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) 1,770 1,681 $17.82
91300 128 121 $1.24
91307 65 64 $0.57
3078F 23,336 21,996 $0.00
1160F 32,853 29,093 $0.00
1159F 6,627 5,914 $0.00
4004F 224 214 $0.00
3077F 1,249 1,208 $0.00
90700 40 40 $0.00
90461 71 69 $0.00
96381 15 15 $0.00
1036F 16,378 15,459 $0.00
3079F 8,447 7,966 $0.00
3074F 28,193 26,430 $0.00
3075F 1,655 1,583 $0.00
1125F 42 42 $0.00
1111F 124 123 $0.00
3080F 369 357 $0.00
90962 13 13 $0.00
3044F 176 172 $0.00
G0008 Administration of influenza virus vaccine 14 14 $0.00
90381 15 15 $0.00