LORAIN COUNTY HEALTH & DENTISTRY
NPI: 1790251700
· LORAIN, OH 44053
· Family Medicine Physician
· NPI assigned 10/17/2018
$167K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: WIERSMA, STEPHANIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,020 |
$26K |
| 2020 |
1,274 |
$33K |
| 2021 |
673 |
$35K |
| 2022 |
829 |
$35K |
| 2023 |
628 |
$28K |
| 2024 |
187 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,544 |
1,408 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
732 |
429 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
842 |
469 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
54 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
110 |
71 |
$542.60 |
| 3074F |
|
374 |
338 |
$0.00 |
| 3079F |
|
79 |
70 |
$0.00 |
| 3008F |
|
68 |
60 |
$0.00 |
| 1036F |
|
270 |
246 |
$0.00 |
| 4004F |
|
313 |
287 |
$0.00 |
| 3078F |
|
178 |
165 |
$0.00 |