Neighborhood Health Care Incorporated

Neighborhood Health Care Incorporated was paid $1.71M by Medicaid between Jan 2018 and May 2023, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoNEIGHBORHOOD HEALTH CARE INCORPORATED
CLEVELAND, OH 44102

33aNPI1720135304assigned 01/04/2007

33bProvider typePrimary Care Clinic/Center

28Total paid$1.71M

24GClaims59,051

24DCodes billed69

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Primary Care Clinic/Center providers in Ohio

Rank by total paid#8 of 118

Median peer was paid$67K

This provider vs. median26×

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	25,415	$763K
2019	26,541	$756K
2020	5,951	$184K
2021	435	$3K
2022	697	$60.00
2023	12	$409.56

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	17,046	15,326	$678K
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	24%	6,857	6,294	$406K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	7.9%	2,666	2,057	$135K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	5.5%	6,044	5,837	$94K
D0150	Comprehensive oral evaluation - new or established patient	2.3%	1,660	1,483	$39K
90686		2.0%	3,718	3,536	$33K
90472	Immunization administration, each additional vaccine (list separately)	1.6%	2,054	1,994	$27K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.5%	290	273	$26K
D1110	Prophylaxis - adult	1.4%	774	710	$24K
D1120	Dental cleaning, childProphylaxis - child	1.2%	1,134	1,021	$21K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.2%	218	197	$20K
D1206	Topical application of fluoride varnish	1.1%	1,315	1,190	$19K

57 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	706	$16K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	283	$13K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	938	$12K
D0274	Bitewings - four radiographic images	<1%	684	$11K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	231	$11K
83036	Hemoglobin; glycosylated (A1C)	<1%	1,125	$10K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	569	$8K
90651		<1%	155	$8K
99203	Doctor's office visit, new patient (routine)	<1%	142	$7K
90837	Psychotherapy session, about an hour	<1%	88	$6K
D0120	Dental checkup, returning patient	<1%	403	$6K
90832	Psychotherapy session, about 30 minutes	<1%	134	$5K
82962		<1%	2,310	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	111	$5K
T2003	Non-emergency transportation, per trip	<1%	444	$5K
D0220	Intraoral - periapical first radiographic image	<1%	1,136	$5K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	83	$5K
D0272	Bitewings - two radiographic images	<1%	491	$4K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	79	$4K
99442		<1%	243	$4K
D0230	Intraoral - periapical each additional radiographic image	<1%	1,045	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	94	$4K
90792	Psychiatric diagnostic evaluation with medical services	<1%	39	$3K
99443		<1%	117	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	239	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	42	$3K
90715		<1%	115	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	26	$2K
D0330	Panoramic radiographic image	<1%	45	$2K
D1351	Sealant - per tooth	<1%	100	$1K
90633		<1%	100	$1K
81003		<1%	513	$891.70
90707		<1%	30	$876.13
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	$736.86
81025		<1%	101	$651.28
0011A		<1%	49	$592.90
90670		<1%	150	$519.25
85018		<1%	206	$443.50
0012A		<1%	13	$369.07
90716		<1%	13	$330.30
G0008	Administration of influenza virus vaccine	<1%	15	$281.40
90714		<1%	15	$272.20
D0140	Limited oral evaluation - problem focused	<1%	14	$248.38
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	12	$212.74
90461		<1%	305	$115.00
90647		<1%	54	$113.00
90723		<1%	78	$107.25
90713		<1%	47	$63.00
96160		<1%	13	$20.75
91301		<1%	87	$0.55
3008F		0%	159	$0.00
3074F		0%	411	$0.00
3044F		0%	110	$0.00
3079F		0%	28	$0.00
90744		0%	13	$0.00
3078F		0%	477	$0.00
90734		0%	33	$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 officialPOLSTER, JEAN (CHIEF EXECUTIVE OFFICER)