Sycamore Primary Care Group
Sycamore Primary Care Group was paid $564K by Medicaid between Jan 2018 and Nov 2021, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
MIAMISBURG, OH 45342
Next to other Internal Medicine Physician providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,137 | $163K | |
| 2019 | 4,676 | $200K | |
| 2020 | 4,107 | $182K | |
| 2021 | 436 | $19K |
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 | 58% | 8,382 | 7,838 | $325K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 2,437 | 2,351 | $130K |
| 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 | 14% | 1,425 | 1,323 | $81K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.0% | 308 | 300 | $11K |
| 99443 | <1% | 170 | 159 | $5K | |
| 90674 | <1% | 160 | 150 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 195 | 184 | $4K |
| 99495 | <1% | 28 | 26 | $3K | |
| 99406 | <1% | 199 | 192 | $2K | |
| 90686 | <1% | 52 | 49 | $836.25 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Dayton Osteopathic Hospital | Dayton, OH | $111.27M |
| Alliance Physicians INC | Kettering, OH | $38.76M |
| Kettering Medical Center | Kettering, OH | $37.96M |
| Beavercreek Medical Center | Beavercreek, OH | $30.49M |
| The Fort Hamilton Hospital | Hamilton, OH | $27.06M |
| Kettering Medical Center | Miamisburg, OH | $20.00M |
| Greene Memorial Hospital INC | Xenia, OH | $11.31M |
| Kettering Medical Center | Troy, OH | $10.83M |
| Kettering Independent Medical Group INC | Miamisburg, OH | $8.39M |
| Kettering Affiliated Health Services | Miamisburg, OH | $2.12M |
| Greene Memorial Hospital, INC. | Jamestown, OH | $1.53M |
| Alliance Physicians INC | Moraine, OH | $1.42M |
| Alliance Physicians INC | Huber Heights, OH | $1.06M |
| Greene Memorial Hospital INC | Yellow Springs, OH | $843K |
| Alliance Physicians INC | Miamisburg, OH | $744K |
| Greene Memorial Hospital INC | Cedarville, OH | $703K |
| Alliance Physicians INC | Xenia, OH | $645K |
| Alliance Physicians INC | Springboro, OH | $616K |
| Alliance Physicians INC | Kettering, OH | $599K |
| Alliance Physicians INC | Beavercreek, OH | $486K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.