Physician
Family Care Plus Clinic LLC
Family Care Plus Clinic LLC was paid $104K by Medicaid between May 2021 and Nov 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoFAMILY CARE PLUS CLINIC LLC
MUNROE FALLS, OH 44262
MUNROE FALLS, OH 44262
33aNPI1669086260assigned 09/02/2020
33bProvider typeFamily Medicine Physician
28Total paid$104K
24GClaims3,245
24DCodes billed19
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#233 of 739
Median peer was paid$30K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2021 | 586 | $11K | |
| 2022 | 527 | $21K | |
| 2023 | 881 | $31K | |
| 2024incomplete | 1,251 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 1,095 | 987 | $64K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 630 | 562 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.8% | 390 | 355 | $9K |
| 96127 | 1.3% | 299 | 281 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 13 | 13 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | 12 | $996.75 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 78 | 73 | $846.82 |
| 90686 | <1% | 46 | 38 | $746.62 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 13 | $725.98 |
| 90656 | <1% | 22 | 22 | $316.11 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 28 | 27 | $162.25 |
| 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% | 93 | 87 | $11.31 |
7 more codes
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 officialNAGHAVI, NANCY (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Family Care Plus Clinic, PA | Katy, TX | $803K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.