Physician
Hocking Valley Medical Group, INC.
Hocking Valley Medical Group, INC. was paid $1.57M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoHOCKING VALLEY MEDICAL GROUP, INC.
LOGAN, OH 43138
LOGAN, OH 43138
33aNPI1801994827assigned 09/21/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$1.57M
24GClaims52,895
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Ohio
Rank by total paid#4 of 60
Median peer was paid$13K
This provider vs. median122×
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 | 14,801 | $409K | |
| 2019 | 14,735 | $400K | |
| 2020 | 8,722 | $245K | |
| 2021 | 2,938 | $72K | |
| 2022 | 3,108 | $76K | |
| 2023 | 4,045 | $124K | |
| 2024incomplete | 4,546 | $240K |
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% | 14,013 | 13,021 | $647K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 14,483 | 13,058 | $445K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.4% | 5,623 | 2,347 | $84K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 1,035 | 1,009 | $59K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 3.6% | 2,735 | 2,513 | $57K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.9% | 570 | 312 | $46K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 834 | 810 | $43K |
| 92587 | 1.4% | 1,207 | 1,181 | $22K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 826 | 739 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 488 | 462 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,499 | 1,407 | $18K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 321 | 298 | $17K |
34 more codes
| 64635 | 1.1% | 204 | $17K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 226 | $12K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 180 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,120 | $9K |
| 64493 | <1% | 131 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 624 | $7K |
| 64636 | <1% | 203 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 55 | $3K |
| 64494 | <1% | 115 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 34 | $3K |
| 99173 | <1% | 1,185 | $3K | |
| 90633 | <1% | 167 | $2K | |
| 99381 | <1% | 13 | $791.12 | |
| 99441 | <1% | 34 | $588.68 | |
| 20610 | <1% | 18 | $546.39 | |
| 96127 | <1% | 339 | $544.65 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 435 | $522.08 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 56 | $442.07 |
| 90670 | <1% | 675 | $405.75 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 14 | $332.61 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 14 | $285.96 |
| 90723 | <1% | 463 | $255.75 | |
| 90686 | <1% | 474 | $245.75 | |
| 90647 | <1% | 444 | $245.75 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $156.60 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | $150.00 |
| 90785 | <1% | 17 | $115.97 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $106.08 |
| 90461 | <1% | 1,596 | $93.75 | |
| 90680 | <1% | 218 | $90.00 | |
| 90710 | <1% | 121 | $50.00 | |
| 90681 | <1% | 15 | $20.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90651 | 0% | 13 | $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 officialBROWN, KIMBERLY (CREDENTIALING SPECIALIST)
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