Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Bryan › NPI 1619915170
Physician

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.

33Billing provider infoMIDWEST COMMUNITY HEALTH ASSOCIATES, INC.
BRYAN, OH 43506
33aNPI1619915170assigned 06/04/2006
28Total paid$6.21M
24GClaims198,668
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Ohio

Rank by total paid#19 of 739
Median peer was paid$30K
This provider vs. median209×

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.

Entity ProliferationAuthorized official BIGELOW, KRISTINA controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
201830,478$970K
201926,856$821K
202024,978$751K
202127,941$912K
202229,067$932K
202335,306$1.10M
2024incomplete24,042$719K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialBIGELOW, KRISTINA (DIRECTOR)
Same official

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