Physician
West Main Family Practice, LLC
West Main Family Practice, LLC was paid $234K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoWEST MAIN FAMILY PRACTICE, LLC
HILLSBORO, OH 45133
HILLSBORO, OH 45133
33aNPI1730557307assigned 09/12/2015
33bProvider typeFamily Medicine Physician
28Total paid$234K
24GClaims5,263
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#154 of 739
Median peer was paid$30K
This provider vs. median7.9×
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 | 875 | $37K | |
| 2019 | 899 | $39K | |
| 2020 | 761 | $35K | |
| 2021 | 706 | $30K | |
| 2022 | 874 | $36K | |
| 2023 | 738 | $35K | |
| 2024incomplete | 410 | $21K |
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 | 50% | 3,056 | 2,807 | $118K |
| 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 | 48% | 2,110 | 2,012 | $112K |
| 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 | <1% | 28 | 25 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | 17 | $387.39 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 38 | 37 | $212.83 |
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 officialJAMIESON, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Highland Urgent Care | Hillsboro, OH | $1.34M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.