Physician
Marietta Health Care Physicians, INC.
Marietta Health Care Physicians, INC. was paid $5.15M by Medicaid between Jan 2018 and Oct 2023, across 133 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoMARIETTA HEALTH CARE PHYSICIANS, INC.
MARIETTA, OH 45750
MARIETTA, OH 45750
33aNPI1912965732assigned 05/02/2006
33bProvider typeFamily Medicine Physician
28Total paid$5.15M
24GClaims158,819
24DCodes billed133
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#23 of 739
Median peer was paid$30K
This provider vs. median174×
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 | 41,387 | $1.38M | |
| 2019 | 34,340 | $1.06M | |
| 2020 | 37,058 | $1.31M | |
| 2021 | 46,020 | $1.41M | |
| 2023 | 14 | $283.98 |
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 | 35% | 30,882 | 28,751 | $1.83M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 29,451 | 27,376 | $1.30M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.8% | 8,298 | 4,076 | $246K |
| 99223 | Prolong inpt eval add15 m | 3.5% | 3,457 | 3,265 | $182K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 6,433 | 3,162 | $155K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.1% | 3,809 | 3,688 | $111K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.7% | 1,234 | 1,163 | $89K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 11,500 | 10,174 | $72K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 5,430 | 5,339 | $69K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3% | 2,179 | 2,075 | $69K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.3% | 500 | 467 | $65K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 9,245 | 6,755 | $56K |
121 more codes
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 758 | $47K |
| 77014 | <1% | 1,806 | $45K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 2,361 | $42K |
| 27096 | <1% | 670 | $42K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 239 | $36K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,751 | $34K |
| 95886 | <1% | 1,373 | $34K | |
| 99220 | <1% | 479 | $31K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 949 | $29K |
| 64483 | <1% | 435 | $27K | |
| 77427 | <1% | 336 | $27K | |
| 99307 | <1% | 7,736 | $27K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 279 | $24K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 718 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 235 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 754 | $19K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 473 | $18K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 381 | $17K |
| 1036F | <1% | 2,585 | $17K | |
| 95811 | <1% | 258 | $15K | |
| 59025 | Fetal non-stress test | <1% | 645 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 171 | $13K |
| 64493 | <1% | 208 | $13K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 212 | $13K |
| 99460 | <1% | 168 | $12K | |
| 93016 | <1% | 779 | $12K | |
| 99217 | <1% | 456 | $11K | |
| 59410 | <1% | 13 | $10K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 151 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 220 | $9K |
| 0031A | <1% | 312 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 141 | $8K |
| 93018 | <1% | 856 | $8K | |
| 93880 | <1% | 568 | $8K | |
| 64484 | <1% | 120 | $8K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 40 | $7K |
| 90658 | <1% | 153 | $7K | |
| 95913 | <1% | 63 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 100 | $7K |
| 99305 | <1% | 634 | $6K | |
| 64494 | <1% | 121 | $6K | |
| 77334 | <1% | 70 | $6K | |
| 90688 | <1% | 154 | $6K | |
| 94010 | <1% | 937 | $6K | |
| 00731 | <1% | 83 | $5K | |
| 94726 | <1% | 1,295 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 154 | $5K |
| 00813 | <1% | 64 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,442 | $5K |
| 94729 | <1% | 1,231 | $5K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 491 | $5K |
| 64490 | <1% | 32 | $4K | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 1,002 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 381 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 47 | $4K |
| 90686 | <1% | 349 | $4K | |
| 93308 | <1% | 371 | $4K | |
| 99442 | <1% | 225 | $4K | |
| 99152 | <1% | 374 | $3K | |
| 00840 | <1% | 12 | $3K | |
| 95910 | <1% | 68 | $3K | |
| 64491 | <1% | 17 | $3K | |
| 0071A | <1% | 40 | $3K | |
| 77280 | <1% | 92 | $3K | |
| 30801 | <1% | 26 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 36 | $3K |
| 94618 | <1% | 216 | $2K | |
| 99406 | <1% | 273 | $2K | |
| 77263 | <1% | 41 | $2K | |
| 95912 | <1% | 26 | $2K | |
| 94060 | <1% | 241 | $2K | |
| 77300 | <1% | 15 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 31 | $2K |
| 0064A | <1% | 26 | $2K | |
| 0002A | <1% | 58 | $2K | |
| 93458 | <1% | 15 | $2K | |
| 99173 | <1% | 32 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $2K |
| 00670 | <1% | 14 | $2K | |
| 0072A | <1% | 16 | $2K | |
| 0012A | <1% | 65 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 164 | $1K |
| 0011A | <1% | 65 | $1K | |
| 92551 | <1% | 30 | $1K | |
| 93922 | <1% | 143 | $965.02 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 40 | $958.84 |
| 00811 | <1% | 15 | $937.77 | |
| G8421 | Bmi not documented and no reason is given | <1% | 19 | $914.97 |
| 99443 | <1% | 134 | $810.43 | |
| 95816 | <1% | 35 | $789.32 | |
| 82962 | <1% | 299 | $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 | <1% | 80 | $727.23 |
| 99221 | <1% | 28 | $721.94 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 49 | $705.69 |
| 76830 | Ultrasound, transvaginal | <1% | 31 | $509.32 |
| 77290 | <1% | 29 | $473.99 | |
| 77012 | <1% | 19 | $439.18 | |
| 0001A | <1% | 28 | $425.28 | |
| 99462 | <1% | 14 | $414.83 | |
| 93923 | <1% | 28 | $373.47 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 25 | $332.27 |
| 99225 | <1% | 13 | $219.77 | |
| 81003 | <1% | 138 | $192.50 | |
| 99316 | <1% | 37 | $161.75 | |
| 74420 | <1% | 14 | $145.63 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $93.19 |
| 81002 | <1% | 53 | $78.97 | |
| 99441 | <1% | 14 | $44.08 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 26 | $23.74 |
| 3078F | 0% | 599 | $0.00 | |
| 90648 | 0% | 32 | $0.00 | |
| 90670 | 0% | 33 | $0.00 | |
| 3074F | 0% | 922 | $0.00 | |
| 3079F | 0% | 273 | $0.00 | |
| 3008F | 0% | 916 | $0.00 | |
| 3017F | 0% | 168 | $0.00 | |
| 99318 | 0% | 14 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 91301 | 0% | 12 | $0.00 | |
| 91303 | 0% | 41 | $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 officialSILVESTRI, SCOTT (VP, FINANCE & CFO)
| Provider | Location | Paid |
|---|---|---|
| Marietta Health Care Physicians, INC | Marietta, OH | $6.93M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.