Colbert Family Health and Wellness, LLC

Colbert Family Health and Wellness, LLC was paid $1.16M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoCOLBERT FAMILY HEALTH AND WELLNESS, LLC
DAYTON, OH 45426

33aNPI1619295425assigned 05/04/2010

33bProvider typeFamily Nurse Practitioner

28Total paid$1.16M

24GClaims44,553

24DCodes billed59

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Ohio

Rank by total paid#2 of 365

Median peer was paid$4K

This provider vs. median288×

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	8,432	$181K
2019	7,758	$186K
2020	6,399	$175K
2021	5,911	$159K
2022	5,850	$174K
2023	5,448	$139K
2024incomplete	4,755	$144K

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	31%	9,584	9,007	$355K
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%	6,130	5,860	$342K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	12%	2,115	2,057	$137K
99222	Initial hospital care, per day, moderate complexity	7.3%	1,906	1,863	$85K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	4.5%	874	858	$52K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	1.9%	467	429	$22K
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	1.6%	220	211	$18K
99384		1.2%	194	179	$14K
36415	Collection of venous blood by venipuncture	1.0%	5,455	5,297	$12K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.0%	524	490	$12K
81002		<1%	4,872	4,694	$11K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	127	121	$10K

47 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	620	$9K
99203	Doctor's office visit, new patient (routine)	<1%	168	$9K
92551		<1%	1,425	$9K
93922		<1%	163	$9K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	253	$7K
90756		<1%	289	$6K
99232	Hospital visit by a doctor, follow-up day	<1%	251	$5K
83036	Hemoglobin; glycosylated (A1C)	<1%	633	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	69	$4K
90688		<1%	216	$3K
96127		<1%	912	$3K
82962		<1%	1,434	$3K
99188		<1%	104	$3K
90836		<1%	34	$2K
90686		<1%	84	$2K
95251		<1%	66	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	108	$1K
99173		<1%	755	$1K
99308	Subsequent nursing facility care, per day, straightforward	<1%	60	$1K
90658		<1%	48	$873.10
99223	Prolong inpt eval add15 m	<1%	12	$522.48
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	40	$489.49
81025		<1%	70	$458.40
87808		<1%	37	$407.04
87905		<1%	37	$362.48
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	12	$288.18
82043		<1%	49	$256.19
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	40	$59.30
G0444	Annual depression screening, 5 to 15 minutes	<1%	40	$44.78
G0008	Administration of influenza virus vaccine	<1%	27	$31.82
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	13	$7.55
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	731	$0.00
4004F		0%	435	$0.00
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	0%	347	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	301	$0.00
3078F		0%	44	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	288	$0.00
1111F		0%	547	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	459	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	102	$0.00
1036F		0%	191	$0.00
3074F		0%	106	$0.00
G8432	Depression screening not documented, reason not given	0%	275	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	101	$0.00
3044F		0%	58	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	15	$0.00
3075F		0%	16	$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 officialCOLBERT, MARQUETTA (OWNER)