Medicaid Provider Spending

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

PREMIER INTEGRATED MEDICAL ASSOC LTD

NPI: 1811953052 · DAYTON, OH 45402 · Pediatrics Physician · NPI assigned 04/25/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COUCH, MARK controls 12+ related entities in our dataset. Read more

$1.29M
Total Medicaid Paid
46,166
Total Claims
40,230
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOUCH, MARK (PRESIDENT)
NPI Enumeration Date04/25/2006

Related Entities

Other providers sharing the same authorized official: COUCH, MARK

ProviderCityStateTotal Paid
PREMIER INTEGRATED MEDICAL ASSOC LTD KETTERING OH $2.36M
PREMIER INTEGRATED MEDICAL ASSOC LTD CENTERVILLE OH $147K
PREMIER INTEGRATED MEDICAL ASSOC LTD KETTERING OH $116K
PREMIER INTEGRATED MEDICAL ASSOC LTD BEAVERCREEK OH $115K
PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD VANDALIA OH $51K
PREMIER INTEGRATED MEDICAL ASSOC LTD CENTERVILLE OH $45K
PREMIER INTEGRATED MEDICAL ASSOC LTD DAYTON OH $33K
PREMIER INTEGRATED MEDICAL ASSOC LTD KETTERING OH $26K
PREMIER INTEGRATED MEDICAL ASSOC LTD SPRINGBORO OH $24K
PREMIER INTEGRATED MEDICAL ASSOC LTD BEAVERCREEK OH $22K
PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD DAYTON OH $17K
PREMIER INTEGRATED MEDICAL ASSOC LTD KETTERING OH $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,654 $254K
2019 7,221 $235K
2020 7,872 $194K
2021 7,219 $202K
2022 7,482 $233K
2023 5,148 $153K
2024 570 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,001 9,306 $577K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,724 4,443 $182K
90460 Immunization administration through 18 years of age via any route, first or only component 5,806 3,971 $132K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,663 1,598 $92K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,511 1,460 $81K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,100 987 $55K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 713 678 $41K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 205 205 $29K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 836 815 $15K
96127 4,423 2,561 $15K
92551 2,133 2,031 $12K
99215 Prolong outpt/office vis 208 194 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 943 895 $11K
99050 353 341 $6K
99173 2,569 2,453 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 625 481 $5K
36415 Collection of venous blood by venipuncture 2,011 1,908 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 171 170 $4K
96161 1,268 1,228 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 267 131 $3K
90832 Psychotherapy, 30 minutes with patient 71 61 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 123 121 $3K
0072A 14 14 $1K
0071A 12 12 $1K
90651 247 243 $766.87
90670 736 694 $543.74
99188 26 25 $393.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 46 37 $181.36
83655 12 12 $149.52
90686 1,196 1,139 $136.73
36416 35 35 $125.73
90734 71 71 $121.96
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) 58 56 $87.98
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $76.23
G0444 Annual depression screening, 5 to 15 minutes 51 39 $32.24
90672 89 84 $28.88
90698 701 652 $1.22
90688 332 324 $0.76
90680 232 210 $0.51
90633 156 150 $0.47
91307 18 12 $0.17
90697 70 68 $0.00
90744 133 118 $0.00
99429 52 51 $0.00
90620 16 16 $0.00
90685 127 118 $0.00