Physician
Picone Family Medicine, LLC
Picone Family Medicine, LLC was paid $136K by Medicaid between Dec 2019 and Mar 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoPICONE FAMILY MEDICINE, LLC
WINDHAM, OH 44288
WINDHAM, OH 44288
33aNPI1750935375assigned 07/31/2019
33bProvider typeFamily Medicine Physician
28Total paid$136K
24GClaims4,147
24DCodes billed14
24AFirst – last monthDec 2019 – Mar 2023
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#202 of 739
Median peer was paid$30K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2019 | 28 | $1K | |
| 2020 | 1,092 | $37K | |
| 2021 | 1,662 | $50K | |
| 2022 | 1,215 | $41K | |
| 2023 | 150 | $7K |
Box 24 · Service lines
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 | 41% | 1,036 | 915 | $56K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 1,103 | 949 | $40K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 12% | 390 | 327 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.1% | 190 | 171 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 228 | 201 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.5% | 250 | 209 | $5K |
| 99384 | <1% | 19 | 19 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | 17 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 26 | 26 | $934.32 |
| 36415 | Collection of venous blood by venipuncture | <1% | 509 | 459 | $926.48 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 63 | 53 | $682.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 70 | 57 | $667.00 |
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 officialPICONE, MANDY (NURSE PRACTITIONER/OWNER)