Physician
Lorain County Health & Dentistry
Lorain County Health & Dentistry was paid $4.76M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoLORAIN COUNTY HEALTH & DENTISTRY
ELYRIA, OH 44035
ELYRIA, OH 44035
33aNPI1891030128assigned 11/27/2012
33bProvider typeFamily Medicine Physician
28Total paid$4.76M
24GClaims202,837
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#25 of 739
Median peer was paid$30K
This provider vs. median161×
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 | 9,993 | $230K | |
| 2019 | 13,788 | $303K | |
| 2020 | 19,693 | $432K | |
| 2021 | 22,034 | $586K | |
| 2022 | 49,278 | $1.23M | |
| 2023 | 49,991 | $1.25M | |
| 2024incomplete | 38,060 | $736K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 64% | 39,714 | 31,109 | $3.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 23,366 | 12,330 | $494K |
| 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 | 9.5% | 13,622 | 7,419 | $451K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 3,220 | 1,119 | $90K |
| D0330 | Panoramic radiographic image | 1.9% | 3,952 | 2,656 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 2,834 | 1,462 | $83K |
| D1110 | Prophylaxis - adult | 1.3% | 3,357 | 2,306 | $64K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 2,427 | 1,238 | $62K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 4,503 | 3,006 | $56K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 5,121 | 3,584 | $45K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,653 | 2,487 | $40K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 2,862 | 1,941 | $33K |
63 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 2,818 | $31K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,054 | $29K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,669 | $22K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,549 | $21K |
| 80305 | <1% | 3,122 | $16K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 794 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,310 | $16K |
| D0274 | Bitewings - four radiographic images | <1% | 1,870 | $14K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,288 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 663 | $7K |
| 90756 | <1% | 391 | $5K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 481 | $5K |
| 90715 | <1% | 277 | $4K | |
| 81025 | <1% | 1,084 | $4K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 169 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 67 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 170 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 130 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 55 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 42 | $2K |
| 90688 | <1% | 340 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 569 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 363 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 53 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 217 | $1K |
| 11721 | <1% | 53 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 736 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 29 | $940.26 |
| G0467 | Community health center visit, returning patient | <1% | 275 | $902.63 |
| 81002 | <1% | 534 | $625.28 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 47 | $617.24 |
| 92015 | Determination of refractive state | <1% | 332 | $583.24 |
| 90686 | <1% | 204 | $549.29 | |
| 92551 | <1% | 147 | $404.80 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 35 | $395.16 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 19 | $260.96 |
| 93000 | <1% | 19 | $180.89 | |
| 99173 | <1% | 63 | $64.80 | |
| 3074F | 0% | 14,296 | $0.00 | |
| 3075F | 0% | 2,140 | $0.00 | |
| 3079F | 0% | 3,764 | $0.00 | |
| 1036F | 0% | 10,699 | $0.00 | |
| 2001F | 0% | 285 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,187 | $0.00 |
| 3008F | 0% | 2,897 | $0.00 | |
| 3049F | 0% | 125 | $0.00 | |
| 3048F | 0% | 331 | $0.00 | |
| 3044F | 0% | 332 | $0.00 | |
| 1034F | 0% | 122 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 26 | $0.00 |
| 4000F | 0% | 117 | $0.00 | |
| 90656 | 0% | 45 | $0.00 | |
| 3080F | 0% | 13 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 15 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 200 | $0.00 |
| 3078F | 0% | 12,829 | $0.00 | |
| 4004F | 0% | 9,626 | $0.00 | |
| 1160F | 0% | 3,461 | $0.00 | |
| 1159F | 0% | 3,462 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,035 | $0.00 |
| 3077F | 0% | 60 | $0.00 | |
| 3050F | 0% | 27 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 74 | $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 officialHEMKER, LISA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Lorain County Health & Dentistry | Oberlin, OH | $2.28M |
| Lorain County Health & Dentistry | Lorain, OH | $30K |
| Lorain County Health & Dentistry | North Ridgeville, OH | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.