Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Elyria › NPI 1629193677
NP / PA

Family Planning Services of Lorain County

Family Planning Services of Lorain County was paid $203K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is J1050, Injection, medroxyprogesterone acetate, 1 mg — 64% of everything it billed.

33Billing provider infoFAMILY PLANNING SERVICES OF LORAIN COUNTY
ELYRIA, OH 44035
33aNPI1629193677assigned 03/20/2007
28Total paid$203K
24GClaims6,560
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Women's Health Nurse Practitioner providers in Ohio

Rank by total paid#5 of 14
Median peer was paid$9K
This provider vs. median22×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,803$46K
2019791$26K
2020687$25K
2021667$22K
20221,376$36K
2023745$22K
2024incomplete491$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J1050 Injection, medroxyprogesterone acetate, 1 mg 64% 2,044 1,759 $131K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13% 492 459 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.2% 480 425 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3.5% 539 521 $7K
99385 2.6% 96 79 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.3% 135 125 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.9% 386 291 $4K
81025 1.7% 623 551 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.2% 199 189 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.2% 199 189 $2K
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 1.2% 42 41 $2K
87210 <1% 591 554 $2K
8 more codes
86701 <1% 222 $1K
83986 <1% 332 $720.16
36415 Collection of venous blood by venipuncture <1% 103 $195.62
86780 <1% 15 $169.80
99441 <1% 15 $156.80
36416 <1% 14 $47.19
81002 <1% 18 $42.81
87220 <1% 15 $32.00

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 officialBERGER, PATRICIA (EXECUTIVE DIRECTOR)
Same official

Other billing entities under BERGER, PATRICIA

Full network →
ProviderLocationPaid
Empowering Integrated Care Solutions, LLCWarrensville Heights, OH$5.46M

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