Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PREMIER PHYSICIANS CENTERS, INC.

NPI: 1780634279 · WESTLAKE, OH 44145 · Family Medicine Physician · NPI assigned 05/12/2006

$8.52M
Total Medicaid Paid
476,773
Total Claims
368,969
Beneficiaries
243
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMICA, CHARLES (COO)
NPI Enumeration Date05/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 87,014 $1.50M
2019 69,908 $1.22M
2020 55,454 $1.08M
2021 69,725 $1.28M
2022 71,629 $1.30M
2023 67,568 $1.14M
2024 55,475 $993K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 50,810 44,167 $2.26M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,253 34,708 $1.19M
99223 Prolong inpt eval add15 m 17,668 15,722 $820K
99232 Subsequent hospital care, per day, moderate complexity 51,486 17,729 $769K
99233 Prolong inpt eval add15 m 23,112 9,633 $495K
99222 Initial hospital care, per day, moderate complexity 6,378 5,887 $242K
99308 Subsequent nursing facility care, per day, straightforward 17,586 14,103 $236K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,713 3,295 $174K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,971 2,117 $172K
99239 Hospital discharge day management, more than 30 minutes 6,592 5,746 $160K
80053 Comprehensive metabolic panel 12,976 11,763 $92K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,943 3,550 $67K
99215 Prolong outpt/office vis 1,201 1,031 $65K
99231 Subsequent hospital care, per day, straightforward or low complexity 6,279 3,095 $65K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,671 3,204 $63K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 950 883 $61K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,553 1,423 $61K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,688 10,514 $61K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,050 986 $61K
99306 Prolong nursin fac eval 15m 1,755 1,603 $60K
95886 1,358 1,139 $55K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 842 779 $52K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,988 974 $52K
80061 Lipid panel 5,674 4,996 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,753 2,232 $45K
90460 Immunization administration through 18 years of age via any route, first or only component 1,704 1,574 $44K
99307 5,782 5,135 $42K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 7,770 6,161 $42K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 701 657 $40K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,691 928 $40K
95810 Polysomnography; sleep staging with 4 or more additional parameters 237 211 $39K
99205 Prolong outpt/office vis 598 556 $39K
92587 1,958 1,808 $36K
20610 1,068 733 $32K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 510 476 $31K
99238 Hospital discharge day management, 30 minutes or less 1,594 1,429 $30K
90651 166 157 $30K
E0601 Continuous positive airway pressure (cpap) device 688 635 $28K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 165 141 $26K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 414 285 $26K
84443 Thyroid stimulating hormone (TSH) 2,448 2,085 $26K
99219 619 559 $21K
86140 6,354 5,896 $21K
93000 2,378 2,061 $20K
99305 834 719 $18K
99220 346 322 $18K
90756 1,122 1,011 $17K
88305 Level IV - Surgical pathology, gross and microscopic examination 372 332 $15K
31231 237 218 $14K
83036 Hemoglobin; glycosylated (A1C) 2,363 2,013 $14K
90619 145 142 $13K
90670 65 64 $13K
99177 1,861 1,655 $13K
92557 604 545 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 903 811 $12K
99217 532 482 $12K
69210 1,608 1,294 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,132 1,785 $10K
99221 314 304 $10K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 691 374 $9K
11721 639 539 $8K
93015 189 162 $8K
17110 193 130 $8K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 77 69 $7K
31575 177 158 $7K
85652 3,763 3,521 $7K
92567 853 751 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 119 113 $6K
E0562 Humidifier, heated, used with positive airway pressure device 483 448 $6K
96127 1,710 1,551 $6K
90674 402 362 $6K
93970 218 207 $6K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 77 60 $6K
82607 952 746 $6K
36415 Collection of venous blood by venipuncture 3,682 3,173 $6K
36416 2,873 2,518 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 83 73 $5K
95811 25 25 $5K
84439 834 687 $4K
94060 343 287 $4K
95816 132 120 $4K
99051 207 187 $4K
93971 169 158 $4K
97161 80 75 $4K
83655 455 420 $4K
82962 1,990 1,707 $4K
95912 31 29 $3K
80048 Basic metabolic panel (calcium, ionized) 608 554 $3K
90688 187 170 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 67 65 $3K
92551 508 488 $3K
95911 30 27 $3K
99236 Prolong inpt eval add15 m 44 41 $3K
94729 451 388 $3K
84100 1,072 998 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 215 76 $3K
90686 159 157 $3K
88312 45 41 $3K
73630 189 150 $3K
94726 418 359 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 83 80 $3K
99397 58 51 $3K
99318 151 136 $2K
93880 64 60 $2K
93016 182 155 $2K
83735 575 455 $2K
G0008 Administration of influenza virus vaccine 345 307 $2K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 23 12 $2K
81002 738 716 $2K
85018 1,082 969 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 96 81 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 26 19 $2K
85027 313 295 $2K
0071A 16 16 $2K
95913 13 13 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 16 12 $2K
82043 395 331 $2K
0001A 19 19 $2K
99173 617 597 $1K
80076 279 269 $1K
82570 409 343 $1K
99407 89 78 $1K
93018 182 155 $1K
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more 150 139 $1K
84460 250 242 $1K
84450 249 241 $1K
82565 222 216 $1K
90734 16 15 $1K
97150 Therapeutic procedure(s), group (2 or more individuals) 119 55 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 121 95 $1K
11043 23 12 $991.02
86235 12 12 $880.20
84520 226 219 $865.83
99218 33 33 $822.97
20605 28 17 $813.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 33 29 $784.56
99334 84 76 $780.66
84550 290 238 $766.70
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 32 29 $708.58
97802 511 476 $687.21
99188 44 36 $671.73
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 17 16 $649.80
92015 Determination of refractive state 40 37 $612.41
86160 40 39 $549.25
A7037 Tubing used with positive airway pressure device 86 76 $545.68
99326 23 19 $540.26
90661 69 63 $513.00
96375 Therapeutic injection; each additional sequential IV push 63 39 $512.73
0011A 16 15 $474.76
0012A 14 14 $458.20
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 21 13 $454.88
96415 15 12 $440.79
90715 14 13 $436.36
A7035 Headgear used with positive airway pressure device 48 42 $420.62
81001 204 185 $415.81
98925 64 56 $412.92
88304 15 12 $395.79
99442 28 27 $393.27
29580 16 12 $384.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 123 100 $374.79
90633 14 12 $350.00
86200 43 36 $322.19
93356 13 13 $301.73
81015 147 106 $295.87
99226 19 12 $290.10
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 23 12 $270.66
99225 15 12 $240.32
A7030 Full face mask used with positive airway pressure device, each 15 13 $232.02
83037 38 37 $219.42
99336 29 25 $189.41
94010 16 13 $188.13
98926 31 25 $185.87
99401 34 34 $183.47
99406 52 48 $180.30
77001 28 24 $170.59
82728 16 13 $155.79
76937 26 24 $148.37
82040 27 26 $134.39
99224 15 15 $130.14
A7038 Filter, disposable, used with positive airway pressure device 153 125 $121.76
94016 15 12 $115.72
A7031 Face mask interface, replacement for full face mask, each 15 13 $104.80
82310 123 106 $102.69
83550 16 13 $100.02
86225 12 12 $96.43
86226 12 12 $84.87
86038 12 12 $84.78
0399T 13 13 $84.15
J7050 Infusion, normal saline solution, 250 cc 280 199 $80.92
83540 16 13 $73.93
A7039 Filter, non disposable, used with positive airway pressure device 16 13 $66.00
85610 18 16 $41.69
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 17 13 $36.45
J2919 Injection, methylprednisolone sodium succinate, 5 mg 20 12 $22.06
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 636 524 $14.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 546 501 $11.20
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 570 525 $10.92
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 17 13 $1.07
91301 35 34 $0.28
91300 27 22 $0.27
91307 21 18 $0.18
3008F 27,462 23,943 $0.00
3079F 4,922 4,427 $0.00
3044F 1,023 784 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 4,247 3,703 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,897 3,523 $0.00
3075F 3,438 3,101 $0.00
3074F 12,224 10,638 $0.00
2000F 955 792 $0.00
3080F 997 900 $0.00
3017F 398 333 $0.00
1125F 174 133 $0.00
1170F 289 229 $0.00
1126F 332 266 $0.00
3072F 62 52 $0.00
99024 70 51 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 231 198 $0.00
1157F 17 15 $0.00
3014F 135 121 $0.00
3061F 44 41 $0.00
1123F 56 46 $0.00
94760 40 31 $0.00
4010F 18 14 $0.00
3078F 12,800 11,058 $0.00
3725F 3,624 3,211 $0.00
1159F 1,291 1,105 $0.00
1124F 147 122 $0.00
3077F 2,987 2,649 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 545 491 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 17,765 15,780 $0.00
1160F 1,621 1,385 $0.00
1494F 258 207 $0.00
1100F 562 505 $0.00
2028F 329 299 $0.00
3288F 774 675 $0.00
G8482 Influenza immunization administered or previously received 215 185 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 174 153 $0.00
3045F 140 116 $0.00
90461 106 99 $0.00
G9920 Screening performed and negative 48 46 $0.00
4004F 25 21 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 25 22 $0.00
3755F 12 12 $0.00