Physician
Trihealth H LLC
Trihealth H LLC was paid $12.50M by Medicaid between Oct 2021 and Dec 2024, across 148 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoTRIHEALTH H LLC
CINCINNATI, OH 45220
CINCINNATI, OH 45220
33aNPI1811215742assigned 05/17/2010
33bProvider typeSurgery Physician
28Total paid$12.50M
24GClaims383,555
24DCodes billed148
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Ohio
Rank by total paid#1 of 82
Median peer was paid$14K
This provider vs. median888×
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 | |
|---|---|---|---|
| 2021 | 29 | $2K | |
| 2022 | 126,584 | $4.14M | |
| 2023 | 137,199 | $4.27M | |
| 2024incomplete | 119,743 | $4.09M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 105,474 | 89,564 | $4.21M |
| 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 | 19% | 54,439 | 49,011 | $2.37M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.1% | 30,145 | 11,594 | $636K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.2% | 17,830 | 7,784 | $526K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 6,906 | 5,408 | $324K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.4% | 43,405 | 37,154 | $296K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.3% | 8,140 | 7,103 | $289K |
| 99223 | Prolong inpt eval add15 m | 2.3% | 4,851 | 4,347 | $283K |
| 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 | 2.2% | 3,853 | 3,521 | $270K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 5,199 | 4,784 | $242K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.8% | 6,206 | 5,754 | $231K |
| 59025 | Fetal non-stress test | 1.6% | 9,596 | 6,379 | $199K |
136 more codes
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.5% | 2,851 | $189K |
| 59410 | 1.4% | 273 | $181K | |
| 76818 | 1.2% | 5,381 | $156K | |
| H1000 | Prenatal care, at-risk assessment | 1.1% | 1,196 | $141K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 2,093 | $110K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,190 | $106K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 4,771 | $95K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 3,004 | $93K |
| 87428 | <1% | 3,164 | $92K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,243 | $90K |
| 95886 | <1% | 1,533 | $76K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,252 | $76K |
| 20610 | <1% | 1,569 | $65K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 2,337 | $64K |
| 99205 | Prolong outpt/office vis | <1% | 638 | $60K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 697 | $54K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 2,094 | $50K |
| 93971 | <1% | 2,619 | $49K | |
| 97803 | <1% | 2,675 | $45K | |
| 99255 | <1% | 497 | $43K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,110 | $40K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 569 | $37K |
| 93970 | <1% | 1,324 | $34K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 889 | $31K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 355 | $31K |
| 99078 | <1% | 1,013 | $31K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 341 | $28K |
| 11721 | <1% | 2,180 | $26K | |
| 93000 | <1% | 2,291 | $25K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 978 | $25K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,614 | $23K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 886 | $23K |
| 31579 | <1% | 232 | $23K | |
| 81025 | <1% | 3,150 | $20K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 446 | $19K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 80 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,593 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,223 | $17K |
| 76820 | <1% | 823 | $16K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 733 | $16K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,186 | $16K |
| 76801 | <1% | 417 | $15K | |
| 99243 | <1% | 271 | $14K | |
| 95816 | <1% | 572 | $14K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 51 | $14K |
| 73562 | <1% | 744 | $12K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 235 | $12K |
| 93296 | <1% | 1,025 | $10K | |
| 73630 | <1% | 692 | $10K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 138 | $8K |
| 90836 | <1% | 205 | $8K | |
| 95811 | <1% | 114 | $8K | |
| 92557 | <1% | 297 | $7K | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 580 | $7K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 49 | $6K |
| 11056 | <1% | 291 | $6K | |
| 97802 | <1% | 146 | $5K | |
| 96127 | <1% | 508 | $5K | |
| 99254 | <1% | 71 | $5K | |
| 99406 | <1% | 725 | $4K | |
| 90837 | Psychotherapy session, about an hour | <1% | 62 | $4K |
| 95720 | <1% | 30 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,377 | $4K |
| 99442 | <1% | 174 | $4K | |
| 77014 | <1% | 114 | $4K | |
| 76830 | Ultrasound, transvaginal | <1% | 68 | $3K |
| 92567 | <1% | 344 | $3K | |
| 87210 | <1% | 813 | $3K | |
| 94060 | <1% | 285 | $3K | |
| 93880 | <1% | 162 | $3K | |
| 93227 | <1% | 126 | $3K | |
| 69210 | <1% | 167 | $3K | |
| 59425 | <1% | 55 | $3K | |
| 51725 | <1% | 29 | $2K | |
| 81002 | <1% | 1,244 | $2K | |
| 97161 | <1% | 46 | $2K | |
| 93298 | <1% | 136 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 81 | $2K |
| 54150 | <1% | 44 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 57 | $2K |
| 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) | <1% | 5,416 | $2K |
| 99385 | <1% | 26 | $2K | |
| 93016 | <1% | 125 | $2K | |
| 95251 | <1% | 102 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | $2K |
| 99292 | <1% | 38 | $1K | |
| 95819 | <1% | 57 | $1K | |
| 94727 | <1% | 297 | $1K | |
| 93295 | <1% | 51 | $1K | |
| 99220 | <1% | 12 | $1K | |
| 31231 | <1% | 13 | $1K | |
| 81003 | <1% | 762 | $1K | |
| 93018 | <1% | 125 | $1K | |
| 94729 | <1% | 300 | $1K | |
| 92504 | <1% | 79 | $981.40 | |
| 97162 | <1% | 15 | $954.18 | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 14 | $940.50 |
| 99441 | <1% | 89 | $785.00 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 16 | $770.13 |
| 99459 | <1% | 47 | $752.49 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 44 | $720.60 |
| 93244 | <1% | 43 | $707.36 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 52 | $533.42 |
| 90715 | <1% | 14 | $511.72 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 157 | $509.97 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $508.80 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 28 | $487.43 |
| 87807 | <1% | 57 | $446.19 | |
| 99152 | <1% | 45 | $410.66 | |
| 99221 | <1% | 16 | $391.89 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | $361.45 |
| 73564 | <1% | 18 | $346.85 | |
| 93308 | <1% | 27 | $336.18 | |
| 73030 | <1% | 25 | $312.92 | |
| 99443 | <1% | 15 | $293.99 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 15 | $286.05 |
| 43450 | <1% | 17 | $282.69 | |
| 93925 | <1% | 16 | $268.89 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 16 | $213.63 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 27 | $186.75 |
| 93294 | <1% | 16 | $175.04 | |
| 93280 | <1% | 13 | $140.05 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 22 | $137.62 |
| 76937 | <1% | 12 | $100.77 | |
| 93325 | <1% | 14 | $34.77 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 15 | $11.87 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 50 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,070 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 31 | $0.00 |
| 4004F | 0% | 16 | $0.00 | |
| 1036F | 0% | 659 | $0.00 | |
| 0503F | 0% | 268 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 272 | $0.00 |
| 3017F | 0% | 98 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 16 | $0.00 |
| 3014F | 0% | 19 | $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 officialCROFTON, MICHAEL (VP FINANCE)
| Provider | Location | Paid |
|---|---|---|
| The Good Samaritan Hospital of Cincinnati, Ohio | Cincinnati, OH | $85.63M |
| Bethesda Hospital INC | Cincinnati, OH | $57.06M |
| Hospice of Cincinnati Incorporated | Cincinnati, OH | $54.08M |
| Trihealth G LLC | Cincinnati, OH | $30.89M |
| Mccullough-Hyde Memorial Hospital, INC. | Oxford, OH | $4.51M |
| Trihealth U LLC | Cincinnati, OH | $209K |
| Trihealth HF LLC | Oxford, OH | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.