Managed care
Alliance Community Medical Foundation LLC
Alliance Community Medical Foundation LLC was paid $2.81M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoALLIANCE COMMUNITY MEDICAL FOUNDATION LLC
ALLIANCE, OH 44601
ALLIANCE, OH 44601
33aNPI1699929562assigned 11/05/2008
33bProvider typeExclusive Provider Organization
28Total paid$2.81M
24GClaims117,721
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Ohio
Rank by total paid#2 of 6
Median peer was paid$177K
This provider vs. median16×
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 | 18,179 | $424K | |
| 2019 | 24,276 | $488K | |
| 2020 | 18,321 | $400K | |
| 2021 | 25,085 | $511K | |
| 2022 | 12,060 | $396K | |
| 2023 | 12,821 | $394K | |
| 2024incomplete | 6,979 | $198K |
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 | 31% | 21,792 | 20,218 | $868K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 27,129 | 24,557 | $840K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.4% | 5,785 | 5,383 | $263K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.7% | 2,628 | 2,467 | $162K |
| 20610 | 4.9% | 4,115 | 3,034 | $137K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.0% | 1,115 | 1,048 | $114K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.3% | 707 | 671 | $92K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.8% | 271 | 245 | $50K |
| 95117 | 1.5% | 6,030 | 2,759 | $42K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 2,847 | 1,146 | $38K |
| 73562 | 1.3% | 2,254 | 1,788 | $38K | |
| 92567 | <1% | 2,934 | 2,625 | $27K |
53 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,103 | $19K |
| 99220 | <1% | 358 | $16K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,380 | $15K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,706 | $15K |
| 92557 | <1% | 523 | $10K | |
| 99217 | <1% | 516 | $10K | |
| 99223 | Prolong inpt eval add15 m | <1% | 210 | $10K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 273 | $6K |
| 11721 | <1% | 584 | $6K | |
| 92552 | <1% | 553 | $5K | |
| 92555 | <1% | 567 | $4K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 119 | $3K |
| 96127 | <1% | 779 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 163 | $2K |
| 73030 | <1% | 106 | $2K | |
| 69210 | <1% | 130 | $2K | |
| 62323 | <1% | 32 | $2K | |
| 31575 | <1% | 27 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 215 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 84 | $1K |
| 81003 | <1% | 765 | $937.49 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 108 | $803.90 |
| 99442 | <1% | 53 | $798.56 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 18 | $635.98 |
| 90686 | <1% | 46 | $618.10 | |
| 99226 | <1% | 33 | $551.39 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 40 | $535.90 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 40 | $489.11 |
| 99219 | <1% | 13 | $466.49 | |
| 99225 | <1% | 51 | $344.40 | |
| 73110 | <1% | 18 | $239.90 | |
| 11056 | <1% | 15 | $234.10 | |
| 92587 | <1% | 12 | $198.13 | |
| 11720 | <1% | 21 | $157.17 | |
| 77002 | <1% | 17 | $155.05 | |
| 3074F | 0% | 5,276 | $0.00 | |
| 1036F | 0% | 8,438 | $0.00 | |
| 3079F | 0% | 1,760 | $0.00 | |
| 3075F | 0% | 485 | $0.00 | |
| 3044F | 0% | 489 | $0.00 | |
| 3080F | 0% | 198 | $0.00 | |
| 3008F | 0% | 2,466 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 506 | $0.00 |
| 4010F | 0% | 82 | $0.00 | |
| 99024 | 0% | 39 | $0.00 | |
| 1111F | 0% | 13 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 682 | $0.00 |
| 3078F | 0% | 4,211 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 1,589 | $0.00 |
| 3077F | 0% | 157 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 18 | $0.00 |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | 0% | 15 | $0.00 |
| 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) | 0% | 12 | $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 officialGEIGER, LISA (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Alliance Family Health Center, INC. | Alliance, OH | $4.14M |
| Alliance Medical Associates INC | Alliance, OH | $629K |
| Health Alliance INC | Louisville, OH | $277K |
| Alliance Family Health Center, INC. | Alliance, OH | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.