Pomerene Express Care

Pomerene Express Care was paid $37K by Medicaid between Jan 2018 and Apr 2022, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoPOMERENE EXPRESS CARE
BERLIN, OH 44610

33aNPI1730362716assigned 12/12/2007

33bProvider typeGeneral Practice Physician

28Total paid$37K

24GClaims2,554

24DCodes billed10

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other General Practice Physician providers in Ohio

Rank by total paid#26 of 66

Median peer was paid$19K

This provider vs. median2.0×

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	554	$11K
2019	1,523	$16K
2020	247	$5K
2021	101	$2K
2022	129	$2K

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	60%	668	613	$22K
99308	Subsequent nursing facility care, per day, straightforward	25%	1,351	850	$9K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	7.3%	112	101	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.5%	30	27	$1K
99309	Subsequent nursing facility care, per day, low to moderate complexity	2.2%	94	43	$826.37
99307		1.6%	149	112	$585.25
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	16	15	$170.40
99318		<1%	23	16	$28.94
1036F		0%	42	39	$0.00
1000F		0%	69	65	$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 officialMOLNAR, ROBERT (CHIEF FINANCIAL OFFICER)

Parent organizationHEALTH PROFESSIONALS OF HOLMES COUNTY, INC