Midwest Community Health Associates, INC.
Midwest Community Health Associates, INC. was paid $6.21M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
BRYAN, OH 43506
Next to other Family Medicine Physician providers in Ohio
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 30,478 | $970K | |
| 2019 | 26,856 | $821K | |
| 2020 | 24,978 | $751K | |
| 2021 | 27,941 | $912K | |
| 2022 | 29,067 | $932K | |
| 2023 | 35,306 | $1.10M | |
| 2024incomplete | 24,042 | $719K |
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 | 41% | 71,135 | 61,288 | $2.54M |
| 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 | 35% | 45,834 | 39,987 | $2.19M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.2% | 17,979 | 6,714 | $262K |
| 87428 | 3.8% | 6,480 | 5,636 | $236K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.4% | 8,543 | 3,075 | $151K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 2,398 | 2,201 | $137K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 2,344 | 2,100 | $114K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 1,950 | 1,775 | $81K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 4,976 | 4,232 | $46K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 790 | 770 | $45K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,239 | 2,691 | $36K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,238 | 1,184 | $34K |
88 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 541 | $33K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 389 | $25K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 588 | $19K |
| 92567 | <1% | 1,788 | $19K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,473 | $19K |
| 99336 | <1% | 914 | $17K | |
| 97161 | <1% | 319 | $16K | |
| 73630 | <1% | 1,096 | $12K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 113 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 968 | $11K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 298 | $10K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 113 | $9K |
| 90677 | <1% | 100 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 172 | $8K |
| 92587 | <1% | 451 | $8K | |
| 90686 | <1% | 2,265 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,482 | $8K |
| 99337 | <1% | 209 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 344 | $7K |
| 92558 | <1% | 400 | $7K | |
| 92557 | <1% | 216 | $5K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,299 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 474 | $5K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 257 | $4K |
| 20610 | <1% | 138 | $4K | |
| 99335 | <1% | 304 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 451 | $4K |
| 95251 | <1% | 168 | $3K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 298 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 41 | $2K |
| 99173 | <1% | 965 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 128 | $2K |
| 11721 | <1% | 171 | $1K | |
| 73610 | <1% | 132 | $1K | |
| 97803 | <1% | 36 | $1K | |
| 76642 | <1% | 42 | $1K | |
| 97035 | <1% | 205 | $1K | |
| 90682 | <1% | 39 | $1K | |
| 81002 | <1% | 1,308 | $1K | |
| V5266 | Battery for use in hearing device | <1% | 172 | $975.91 |
| 99406 | <1% | 1,287 | $963.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $887.09 |
| 96127 | <1% | 260 | $865.38 | |
| 73030 | <1% | 75 | $726.25 | |
| 87807 | <1% | 81 | $673.16 | |
| 0011A | <1% | 23 | $642.88 | |
| 0012A | <1% | 22 | $638.00 | |
| 90688 | <1% | 209 | $532.13 | |
| 95886 | <1% | 30 | $480.44 | |
| 99177 | <1% | 46 | $477.98 | |
| 99201 | <1% | 22 | $442.78 | |
| 92553 | <1% | 27 | $435.28 | |
| 97012 | <1% | 49 | $407.09 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 22 | $400.16 |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | <1% | 33 | $387.55 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 26 | $373.00 |
| 90656 | <1% | 135 | $372.51 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 39 | $365.07 |
| 99188 | <1% | 23 | $361.50 | |
| 96161 | <1% | 174 | $320.32 | |
| 81003 | <1% | 199 | $315.70 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 25 | $298.05 |
| 73110 | <1% | 33 | $292.21 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 14 | $290.83 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 58 | $273.03 |
| 73562 | <1% | 22 | $270.74 | |
| 73564 | <1% | 20 | $263.24 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 29 | $165.30 |
| 90670 | <1% | 1,057 | $152.07 | |
| 93000 | <1% | 12 | $106.31 | |
| 92551 | <1% | 13 | $77.88 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 20 | $67.56 |
| 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% | 2,641 | $44.58 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 41 | $41.20 |
| 90698 | <1% | 273 | $31.07 | |
| 90647 | <1% | 37 | $30.09 | |
| 90680 | <1% | 274 | $20.21 | |
| 91301 | <1% | 55 | $0.54 | |
| 90633 | <1% | 202 | $0.26 | |
| 90744 | <1% | 48 | $0.24 | |
| 90651 | <1% | 98 | $0.19 | |
| 90648 | <1% | 636 | $0.17 | |
| 90734 | <1% | 40 | $0.16 | |
| 90723 | <1% | 371 | $0.10 | |
| 90696 | <1% | 24 | $0.04 | |
| 90710 | <1% | 25 | $0.04 | |
| 90715 | <1% | 14 | $0.04 | |
| 99221 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Parkview Health System INC | Fort Wayne, IN | $88.95M |
| Parkview Health System, INC. | Fort Wayne, IN | $22.50M |
| Parkview Health System, INC. | Fort Wayne, IN | $7.28M |
| Parkview Health System, INC. | Fort Wayne, IN | $3.02M |
| Parkview Health System,inc. | Fort Wayne, IN | $1.91M |
| Parkview Health System,inc | Huntington, IN | $1.85M |
| Parkview Health System, INC. | Fort Wayne, IN | $783K |
| Parkview Health System, INC. | Fort Wayne, IN | $349K |
| Parkview Health System, INC. | Fort Wayne, IN | $315K |
| Parkview Health System INC | Fort Wayne, IN | $95K |
| Parkview Health System, INC. | Fort Wayne, IN | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.