Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Columbus › NPI 1790156461
Physician

Columbus Regional Health Physicians, LLC

Columbus Regional Health Physicians, LLC was paid $734K by Medicaid between Jan 2018 and Oct 2019, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoCOLUMBUS REGIONAL HEALTH PHYSICIANS, LLC
COLUMBUS, IN 47201
33aNPI1790156461assigned 10/07/2015
33bProvider typePediatrics Physician
28Total paid$734K
24GClaims25,513
24DCodes billed28
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers

Next to other Pediatrics Physician providers in Indiana

Rank by total paid#42 of 119
Median peer was paid$395K
This provider vs. median1.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SONDERMAN, THOMAS controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201812,735$387K
201912,778$347K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45% 7,552 6,672 $328K
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 18% 1,993 1,798 $129K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 1,139 983 $81K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.4% 929 832 $69K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.4% 492 456 $39K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4.5% 5,072 4,365 $33K
90472 Immunization administration, each additional vaccine (list separately) 4.1% 2,540 2,157 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 498 433 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 332 294 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 31 31 $3K
36416 <1% 709 639 $2K
90474 <1% 150 125 $1K
16 more codes
90670 <1% 672 $982.37
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 135 $718.09
90698 <1% 634 $662.59
80061 Lipid panel <1% 38 $595.08
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 17 $344.80
90686 <1% 1,055 $253.06
90473 <1% 26 $176.00
90688 <1% 656 $173.47
83655 <1% 12 $147.95
90687 <1% 393 $49.98
96127 <1% 50 $27.16
90633 <1% 57 $2.15
90460 Immunization administration through 18 years of age via any route, first or only component 0% 28 $0.00
90744 0% 75 $0.00
90680 0% 213 $0.00
90651 0% 15 $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 officialSONDERMAN, THOMAS (CMO)
Same official

Other billing entities under SONDERMAN, THOMAS

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.