Physician
South Dayton Acute Care Consultants, INC
South Dayton Acute Care Consultants, INC was paid $2.94M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 35% of everything it billed.
33Billing provider infoSOUTH DAYTON ACUTE CARE CONSULTANTS, INC
DAYTON, OH 45429
DAYTON, OH 45429
33aNPI1669442950assigned 01/26/2006
33bProvider typeInfectious Disease Physician
28Total paid$2.94M
24GClaims107,755
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Infectious Disease Physician providers in Ohio
Rank by total paid#2 of 29
Median peer was paid$73K
This provider vs. median40×
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 | 24,999 | $521K | |
| 2019 | 21,069 | $494K | |
| 2020 | 14,187 | $440K | |
| 2021 | 16,226 | $517K | |
| 2022 | 12,604 | $381K | |
| 2023 | 11,258 | $314K | |
| 2024incomplete | 7,412 | $271K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 35% | 45,219 | 17,073 | $1.03M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 26% | 23,285 | 10,997 | $752K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 10% | 5,016 | 2,409 | $294K |
| 99239 | Hospital discharge day management, more than 30 minutes | 9.8% | 8,685 | 8,128 | $287K |
| 99223 | Prolong inpt eval add15 m | 8.1% | 4,120 | 3,850 | $238K |
| 99255 | 3.8% | 1,193 | 1,154 | $111K | |
| 99220 | 2.9% | 1,489 | 1,420 | $87K | |
| 99254 | 2.2% | 915 | 890 | $64K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 447 | 431 | $25K |
| 99217 | <1% | 866 | 824 | $22K | |
| 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% | 298 | 258 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 385 | 345 | $13K |
12 more codes
| 99225 | <1% | 106 | $2K | |
| 99219 | <1% | 13 | $630.23 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | $279.51 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 426 | $36.86 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 13,948 | $33.46 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 477 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 235 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 108 | $0.00 |
| 1124F | 0% | 15 | $0.00 | |
| 1123F | 0% | 422 | $0.00 | |
| G9662 | Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure | 0% | 44 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 27 | $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 officialKRONAUGE, REBECCA (PRACTICE ADMINISTRATOR)