Bellefonte Physician Services, INC.
Bellefonte Physician Services, INC. was paid $47K by Medicaid between Jan 2018 and May 2020, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
IRONTON, OH 45638
Next to other Family Nurse Practitioner providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,384 | $13K | |
| 2019 | 4,916 | $26K | |
| 2020 | 1,039 | $8K |
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 | 60% | 1,017 | 949 | $28K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 964 | 839 | $18K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 32 | 32 | $260.77 |
| 90688 | <1% | 32 | 31 | $188.48 | |
| 99406 | <1% | 43 | 41 | $162.22 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 83 | 78 | $57.95 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | 12 | $29.97 |
| 82962 | <1% | 54 | 52 | $18.75 | |
| 1090F | 0% | 103 | 89 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,157 | 1,022 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 543 | 488 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 340 | 302 | $0.00 |
9 more codes
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 15 | $0.00 |
| 1101F | 0% | 331 | $0.00 | |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 469 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 89 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 670 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 206 | $0.00 |
| 3017F | 0% | 563 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 494 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 122 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.