Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Premier Integrated Medical Assoc LTD

Premier Integrated Medical Assoc LTD was paid $1.29M 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) — 45% of everything it billed.

33Billing provider infoPREMIER INTEGRATED MEDICAL ASSOC LTD
DAYTON, OH 45402
33aNPI1811953052assigned 04/25/2006
33bProvider typePediatrics Physician
28Total paid$1.29M
24GClaims46,166
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Ohio

Rank by total paid#51 of 401
Median peer was paid$30K
This provider vs. median44×

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 COUCH, MARK controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
201810,654$254K
20197,221$235K
20207,872$194K
20217,219$202K
20227,482$233K
20235,148$153K
2024incomplete570$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 45% 10,001 9,306 $577K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 4,724 4,443 $182K
90460 Immunization administration through 18 years of age via any route, first or only component 10% 5,806 3,971 $132K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.1% 1,663 1,598 $92K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.3% 1,511 1,460 $81K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.2% 1,100 987 $55K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.2% 713 678 $41K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2.2% 205 205 $29K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.2% 836 815 $15K
96127 1.2% 4,423 2,561 $15K
92551 <1% 2,133 2,031 $12K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 208 194 $11K
34 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 943 $11K
99050 <1% 353 $6K
99173 <1% 2,569 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 625 $5K
36415 Collection of venous blood by venipuncture <1% 2,011 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 171 $4K
96161 <1% 1,268 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 267 $3K
90832 Psychotherapy session, about 30 minutes <1% 71 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 123 $3K
0072A <1% 14 $1K
0071A <1% 12 $1K
90651 <1% 247 $766.87
90670 <1% 736 $543.74
99188 <1% 26 $393.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 46 $181.36
83655 <1% 12 $149.52
90686 <1% 1,196 $136.73
36416 <1% 35 $125.73
90734 <1% 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) <1% 58 $87.98
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 12 $76.23
G0444 Annual depression screening, 5 to 15 minutes <1% 51 $32.24
90672 <1% 89 $28.88
90698 <1% 701 $1.22
90688 <1% 332 $0.76
90680 <1% 232 $0.51
90633 <1% 156 $0.47
91307 <1% 18 $0.17
90697 0% 70 $0.00
90744 0% 133 $0.00
99429 0% 52 $0.00
90620 0% 16 $0.00
90685 0% 127 $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 officialCOUCH, MARK (PRESIDENT)
Same official

Other billing entities under COUCH, MARK

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