Lab
Providence Medical Group
Providence Medical Group was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 16% of everything it billed.
33Billing provider infoPROVIDENCE MEDICAL GROUP
MORAINE, OH 45439
MORAINE, OH 45439
33aNPI1760658371assigned 05/03/2008
33bProvider typeClinical Medical Laboratory
28Total paid$1.03M
24GClaims131,929
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Ohio
Rank by total paid#45 of 116
Median peer was paid$313K
This provider vs. median3.3×
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 | 1,932 | $5K | |
| 2019 | 11,249 | $86K | |
| 2020 | 22,675 | $203K | |
| 2021 | 25,203 | $200K | |
| 2022 | 25,126 | $181K | |
| 2023 | 24,297 | $181K | |
| 2024incomplete | 21,447 | $179K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 16% | 14,854 | 13,705 | $168K |
| 80053 | Comprehensive metabolic panel | 14% | 19,918 | 18,302 | $145K |
| 80061 | Lipid panel | 13% | 16,358 | 15,041 | $137K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 10% | 19,632 | 18,009 | $106K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 9.6% | 2,026 | 1,920 | $99K |
| 36415 | Collection of venous blood by venipuncture | 6.5% | 25,986 | 23,531 | $67K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 5.4% | 3,313 | 3,087 | $56K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.0% | 1,373 | 1,292 | $41K |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.0% | 6,625 | 6,075 | $41K |
| G0472 | Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | 2.3% | 960 | 838 | $24K |
| 84481 | 2.1% | 1,970 | 1,825 | $22K | |
| 82728 | 1.9% | 2,119 | 1,964 | $20K |
33 more codes
| 84439 | 1.8% | 3,213 | $19K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 1,181 | $14K |
| 82607 | 1.3% | 1,842 | $13K | |
| 83550 | 1.2% | 2,097 | $13K | |
| 84153 | 1.1% | 910 | $12K | |
| 83540 | <1% | 2,129 | $10K | |
| 86769 | <1% | 220 | $8K | |
| 82550 | <1% | 892 | $4K | |
| 85651 | <1% | 767 | $2K | |
| 82043 | <1% | 538 | $2K | |
| 82570 | <1% | 548 | $2K | |
| 83735 | <1% | 235 | $1K | |
| 86703 | <1% | 109 | $1K | |
| 86803 | <1% | 78 | $918.49 | |
| 82746 | <1% | 191 | $845.60 | |
| 80074 | <1% | 54 | $673.24 | |
| 83721 | <1% | 235 | $643.59 | |
| 84403 | <1% | 30 | $565.60 | |
| 86430 | <1% | 123 | $532.61 | |
| 86140 | <1% | 209 | $523.25 | |
| 83690 | <1% | 111 | $478.59 | |
| 83001 | <1% | 29 | $390.32 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 65 | $332.60 |
| 82150 | <1% | 95 | $310.64 | |
| 80069 | <1% | 44 | $273.64 | |
| 83002 | <1% | 17 | $222.24 | |
| 86592 | <1% | 74 | $218.48 | |
| 84550 | <1% | 43 | $151.13 | |
| 82977 | <1% | 28 | $140.40 | |
| 80076 | <1% | 12 | $55.17 | |
| 81005 | <1% | 15 | $22.82 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 527 | $0.00 |
| 85032 | 0% | 134 | $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 officialPFEIFFER, SHIRLEY (CREDENTIALING COORDINATOR)
Parent organizationPROVIDENCE MEDICAL GROUP