Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › MARIETTA › MARIETTA HEALTH CARE PHYSICIANS, INC.

MARIETTA HEALTH CARE PHYSICIANS, INC.

NPI: 1912965732 · MARIETTA, OH 45750 · Family Medicine Physician · NPI assigned 05/02/2006

$5.15M
Total Medicaid Paid
158,819
Total Claims
135,438
Beneficiaries
133
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialSILVESTRI, SCOTT (VP, FINANCE & CFO)
NPI Enumeration Date05/02/2006

Related Entities

Other providers sharing the same authorized official: SILVESTRI, SCOTT

ProviderCityStateTotal Paid
MARIETTA HEALTH CARE PHYSICIANS, INC MARIETTA OH $6.93M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41,387 $1.38M
2019 34,340 $1.06M
2020 37,058 $1.31M
2021 46,020 $1.41M
2023 14 $283.98

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,882 28,751 $1.83M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,451 27,376 $1.30M
99233 Prolong inpt eval add15 m 8,298 4,076 $246K
99223 Prolong inpt eval add15 m 3,457 3,265 $182K
99232 Subsequent hospital care, per day, moderate complexity 6,433 3,162 $155K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,809 3,688 $111K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,234 1,163 $89K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 11,500 10,174 $72K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,430 5,339 $69K
99239 Hospital discharge day management, more than 30 minutes 2,179 2,075 $69K
45380 Colonoscopy, flexible; with biopsy, single or multiple 500 467 $65K
99308 Subsequent nursing facility care, per day, straightforward 9,245 6,755 $56K
95810 Polysomnography; sleep staging with 4 or more additional parameters 758 747 $47K
77014 1,806 226 $45K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,361 1,180 $42K
27096 670 629 $42K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 239 235 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,751 2,287 $34K
95886 1,373 782 $34K
99220 479 463 $31K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 949 912 $29K
64483 435 383 $27K
77427 336 148 $27K
99307 7,736 6,469 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 279 262 $24K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 718 713 $20K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 235 223 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 754 702 $19K
99222 Initial hospital care, per day, moderate complexity 473 422 $18K
99215 Prolong outpt/office vis 381 327 $17K
1036F 2,585 2,370 $17K
95811 258 255 $15K
59025 Fetal non-stress test 645 479 $14K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 171 167 $13K
64493 208 196 $13K
90792 Psychiatric diagnostic evaluation with medical services 212 199 $13K
99460 168 159 $12K
93016 779 759 $12K
99217 456 439 $11K
59410 13 13 $10K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 151 62 $9K
90472 Immunization administration, each additional vaccine (list separately) 220 209 $9K
0031A 312 252 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 141 136 $8K
93018 856 834 $8K
93880 568 555 $8K
64484 120 93 $8K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 40 39 $7K
90658 153 149 $7K
95913 63 63 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 100 97 $7K
99305 634 594 $6K
64494 121 110 $6K
77334 70 51 $6K
90688 154 149 $6K
94010 937 918 $6K
00731 83 65 $5K
94726 1,295 1,278 $5K
99238 Hospital discharge day management, 30 minutes or less 154 143 $5K
00813 64 55 $5K
36415 Collection of venous blood by venipuncture 1,442 1,350 $5K
94729 1,231 1,214 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 491 375 $5K
64490 32 27 $4K
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,002 914 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 381 338 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 47 45 $4K
90686 349 337 $4K
93308 371 348 $4K
99442 225 213 $4K
99152 374 340 $3K
00840 12 12 $3K
95910 68 63 $3K
64491 17 15 $3K
0071A 40 37 $3K
77280 92 77 $3K
30801 26 24 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 36 34 $3K
94618 216 205 $2K
99406 273 218 $2K
77263 41 38 $2K
95912 26 25 $2K
94060 241 235 $2K
77300 15 14 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 31 29 $2K
0064A 26 24 $2K
0002A 58 57 $2K
93458 15 14 $2K
99173 32 31 $2K
90791 Psychiatric diagnostic evaluation 13 13 $2K
99205 Prolong outpt/office vis 12 12 $2K
00670 14 12 $2K
0072A 16 16 $2K
0012A 65 56 $1K
83036 Hemoglobin; glycosylated (A1C) 164 161 $1K
0011A 65 62 $1K
92551 30 30 $1K
93922 143 141 $965.02
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 40 39 $958.84
00811 15 13 $937.77
G8421 Bmi not documented and no reason is given 19 19 $914.97
99443 134 129 $810.43
95816 35 34 $789.32
82962 299 286 $768.56
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 80 78 $727.23
99221 28 26 $721.94
99231 Subsequent hospital care, per day, straightforward or low complexity 49 39 $705.69
76830 Ultrasound, transvaginal 31 29 $509.32
77290 29 24 $473.99
77012 19 17 $439.18
0001A 28 28 $425.28
99462 14 12 $414.83
93923 28 28 $373.47
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 25 24 $332.27
99225 13 12 $219.77
81003 138 134 $192.50
99316 37 35 $161.75
74420 14 12 $145.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 13 $93.19
81002 53 47 $78.97
99441 14 12 $44.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 26 25 $23.74
3078F 599 569 $0.00
90648 32 31 $0.00
90670 33 31 $0.00
3074F 922 869 $0.00
3079F 273 265 $0.00
3008F 916 871 $0.00
3017F 168 164 $0.00
99318 14 13 $0.00
90723 12 12 $0.00
91301 12 12 $0.00
91303 41 41 $0.00