Physician
Mount Carmel - Osu Physician Alliance LLC
Mount Carmel - Osu Physician Alliance LLC was paid $3.05M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoMOUNT CARMEL - OSU PHYSICIAN ALLIANCE LLC
LONDON, OH 43140
LONDON, OH 43140
33aNPI1871913731assigned 04/18/2014
33bProvider typeFamily Medicine Physician
28Total paid$3.05M
24GClaims87,006
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#34 of 739
Median peer was paid$30K
This provider vs. median103×
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 | 11,219 | $466K | |
| 2019 | 15,682 | $463K | |
| 2020 | 12,828 | $409K | |
| 2021 | 11,504 | $379K | |
| 2022 | 11,265 | $426K | |
| 2023 | 14,367 | $492K | |
| 2024incomplete | 10,141 | $414K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 31,224 | 28,727 | $1.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 16,409 | 15,313 | $656K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.4% | 3,344 | 3,086 | $134K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 2,153 | 2,076 | $133K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 1,527 | 1,452 | $83K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.6% | 767 | 707 | $48K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.0% | 1,413 | 1,290 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 368 | 364 | $22K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,345 | 1,308 | $22K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,502 | 2,398 | $21K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 321 | 307 | $17K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 192 | 175 | $12K |
38 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 136 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 128 | $9K |
| 87634 | <1% | 190 | $8K | |
| 90688 | <1% | 506 | $6K | |
| 90686 | <1% | 862 | $5K | |
| 90671 | <1% | 59 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 44 | $2K |
| 90633 | <1% | 231 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 129 | $2K |
| 99406 | <1% | 179 | $2K | |
| 90670 | <1% | 1,129 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 164 | $930.27 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $769.15 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 60 | $742.28 |
| 92551 | <1% | 117 | $713.18 | |
| 90698 | <1% | 595 | $589.50 | |
| 90656 | <1% | 61 | $438.41 | |
| 90474 | <1% | 44 | $313.50 | |
| 85018 | <1% | 107 | $224.53 | |
| 99173 | <1% | 71 | $181.49 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $174.27 |
| 90680 | <1% | 423 | $108.45 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 68 | $86.02 |
| 90744 | <1% | 176 | $73.00 | |
| 90685 | <1% | 80 | $31.50 | |
| 1036F | 0% | 10,038 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,271 | $0.00 |
| 3074F | 0% | 118 | $0.00 | |
| 3079F | 0% | 40 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 28 | $0.00 |
| 3075F | 0% | 12 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,988 | $0.00 |
| 4004F | 0% | 4,520 | $0.00 | |
| 90461 | 0% | 752 | $0.00 | |
| 3078F | 0% | 28 | $0.00 | |
| 90707 | 0% | 15 | $0.00 | |
| 90700 | 0% | 13 | $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 officialDORNSIFE, LAURA (DIRECTOR OF CODING & REVENUE CYCLE)