Community Medical Specialists
Community Medical Specialists was paid $269K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoCOMMUNITY MEDICAL SPECIALISTS
DAYTON, OH 45415
DAYTON, OH 45415
33aNPI1619285160assigned 09/17/2010
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$269K
24GClaims8,203
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Ohio
Rank by total paid#20 of 149
Median peer was paid$15K
This provider vs. median18×
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 | 1,254 | $21K | |
| 2019 | 2,480 | $85K | |
| 2020 | 1,803 | $61K | |
| 2021 | 751 | $26K | |
| 2022 | 498 | $17K | |
| 2023 | 1,053 | $44K | |
| 2024incomplete | 364 | $15K |
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 | 65% | 5,303 | 4,752 | $176K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 751 | 732 | $39K |
| 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 | 8.5% | 416 | 370 | $23K |
| 11721 | 5.9% | 1,123 | 1,025 | $16K | |
| 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 | 4.9% | 172 | 162 | $13K |
| L3030 | Foot, insert, removable, formed to patient foot, each | <1% | 16 | 16 | $2K |
| 73630 | <1% | 33 | 18 | $669.24 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $187.11 |
| 11720 | <1% | 130 | 128 | $124.65 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 112 | 110 | $27.49 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 135 | 127 | $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 officialCHAN, BELINDA (OWNER)