Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Kettering › NPI 1861450363
Physician

Premier Integrated Medical Assoc LTD

Premier Integrated Medical Assoc LTD was paid $116K by Medicaid between Jan 2018 and Jul 2020, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoPREMIER INTEGRATED MEDICAL ASSOC LTD
KETTERING, OH 45429
33aNPI1861450363assigned 05/03/2006
33bProvider typePediatrics Physician
28Total paid$116K
24GClaims3,310
24DCodes billed14
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers

Next to other Pediatrics Physician providers in Ohio

Rank by total paid#137 of 401
Median peer was paid$30K
This provider vs. median3.9×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,108$36K
20191,313$46K
2020889$34K
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 51% 1,027 936 $59K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 906 816 $34K
90460 Immunization administration through 18 years of age via any route, first or only component 12% 618 431 $15K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.3% 101 94 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.2% 24 24 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 53 51 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 45 38 $427.88
83655 <1% 26 26 $340.08
99173 <1% 71 62 $138.60
90686 <1% 303 276 $19.03
90698 0% 48 46 $0.00
90680 0% 16 15 $0.00
2 more codes
90685 0% 12 $0.00
90670 0% 60 $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

Full network →

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