Physician
Uvpc Specialists INC.
Uvpc Specialists INC. was paid $2.14M by Medicaid between Jan 2018 and Nov 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoUVPC SPECIALISTS INC.
TROY, OH 45373
TROY, OH 45373
33aNPI1831115492assigned 07/15/2006
33bProvider typeSurgery Physician
28Total paid$2.14M
24GClaims56,357
24DCodes billed50
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in Ohio
Rank by total paid#4 of 82
Median peer was paid$14K
This provider vs. median152×
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 | 13,046 | $326K | |
| 2019 | 7,123 | $283K | |
| 2020 | 6,804 | $298K | |
| 2021 | 7,596 | $329K | |
| 2022 | 7,836 | $333K | |
| 2023 | 9,078 | $372K | |
| 2024incomplete | 4,874 | $198K |
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% | 18,637 | 15,753 | $738K |
| 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 | 23% | 8,605 | 7,143 | $501K |
| 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 | 8.4% | 2,322 | 2,094 | $179K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.1% | 4,587 | 2,214 | $108K |
| 31575 | 3.8% | 1,328 | 1,154 | $81K | |
| 99223 | Prolong inpt eval add15 m | 3.4% | 1,087 | 1,014 | $74K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 1,342 | 1,255 | $64K |
| 31231 | 2.9% | 822 | 716 | $62K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.9% | 773 | 686 | $62K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.4% | 1,919 | 1,758 | $52K |
| 92557 | 1.6% | 1,373 | 1,222 | $33K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.3% | 4,435 | 3,912 | $27K |
38 more codes
| 92567 | 1.2% | 2,760 | $26K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 305 | $18K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 338 | $16K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 952 | $13K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 325 | $11K |
| 92504 | <1% | 767 | $10K | |
| 20610 | <1% | 314 | $10K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 51 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 301 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 85 | $5K |
| 81025 | <1% | 853 | $5K | |
| 95117 | <1% | 551 | $4K | |
| 69210 | <1% | 243 | $4K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 38 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 95 | $3K |
| 43249 | <1% | 40 | $2K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 66 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $1K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 84 | $1K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 13 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 261 | $1K |
| 59025 | Fetal non-stress test | <1% | 45 | $971.71 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 24 | $935.28 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 171 | $809.44 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 18 | $740.30 |
| 93016 | <1% | 20 | $309.04 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $195.23 |
| 93018 | <1% | 20 | $184.96 | |
| 92556 | <1% | 13 | $141.31 | |
| 92552 | <1% | 14 | $119.03 | |
| 81002 | <1% | 27 | $43.61 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 16 | $24.75 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 28 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 119 | $0.00 |
| 1036F | 0% | 27 | $0.00 | |
| 99024 | 0% | 89 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 13 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 15 | $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 officialMICHEL, DARLENE (SYSTEM SUPPORT ANALYST)
| Provider | Location | Paid |
|---|---|---|
| Premier Health Specialists INC | Moraine, OH | $31.13M |
| Samaritan Family Care INC | Moraine, OH | $3.86M |
| Upper Valley Professional Corporation | Troy, OH | $3.04M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.