Physician
Lorain County Health & Dentistry
Lorain County Health & Dentistry was paid $1.86M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoLORAIN COUNTY HEALTH & DENTISTRY
ELYRIA, OH 44035
ELYRIA, OH 44035
33aNPI1720485659assigned 11/20/2014
33bProvider typeFamily Medicine Physician
28Total paid$1.86M
24GClaims82,889
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#41 of 739
Median peer was paid$30K
This provider vs. median63×
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 | 7,232 | $181K | |
| 2019 | 10,272 | $227K | |
| 2020 | 12,446 | $273K | |
| 2021 | 18,118 | $438K | |
| 2022 | 16,734 | $389K | |
| 2023 | 9,579 | $232K | |
| 2024incomplete | 8,508 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 64% | 15,266 | 12,811 | $1.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 14,936 | 7,557 | $325K |
| 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 | 12% | 6,288 | 3,383 | $216K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 5,231 | 1,414 | $44K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 500 | 305 | $14K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,155 | 614 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 434 | 231 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 716 | 377 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 234 | 127 | $7K |
| 80305 | <1% | 938 | 367 | $5K | |
| 92551 | <1% | 1,225 | 662 | $4K | |
| 81025 | <1% | 861 | 411 | $3K |
40 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 78 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 241 | $2K |
| 90686 | <1% | 1,144 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 253 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 326 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 56 | $1K |
| 99173 | <1% | 822 | $1K | |
| 90688 | <1% | 308 | $887.00 | |
| 81002 | <1% | 727 | $821.41 | |
| 99382 | <1% | 24 | $795.19 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 21 | $616.80 |
| D1120 | Dental cleaning, child | <1% | 155 | $500.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 185 | $420.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 80 | $289.85 |
| 90685 | <1% | 90 | $114.50 | |
| 90633 | <1% | 113 | $98.75 | |
| 90707 | <1% | 60 | $73.00 | |
| 90651 | <1% | 84 | $41.50 | |
| D0120 | Dental checkup, returning patient | <1% | 13 | $34.16 |
| 90716 | <1% | 88 | $30.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $29.00 |
| 90670 | <1% | 73 | $25.75 | |
| 90698 | <1% | 42 | $25.75 | |
| 90696 | <1% | 20 | $10.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14 | $5.00 |
| 4004F | 0% | 3,020 | $0.00 | |
| 3078F | 0% | 7,933 | $0.00 | |
| 1159F | 0% | 1,147 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 833 | $0.00 |
| 1160F | 0% | 1,146 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 119 | $0.00 |
| 90461 | 0% | 159 | $0.00 | |
| 90734 | 0% | 29 | $0.00 | |
| 3074F | 0% | 8,470 | $0.00 | |
| 1036F | 0% | 5,045 | $0.00 | |
| 3075F | 0% | 265 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 299 | $0.00 |
| 3079F | 0% | 747 | $0.00 | |
| 3008F | 0% | 843 | $0.00 | |
| 90744 | 0% | 15 | $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 officialWIERSMA, STEPHANIE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Lorain County Health & Dentistry | Lorain, OH | $14.30M |
| Lorain County Health & Dentistry | Lorain, OH | $4.75M |
| Lorain County Health & Dentistry | Lorain, OH | $571K |
| Lorain County Health & Dentistry | Lorain, OH | $167K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.