Physician
Western Medicine, INC.
Western Medicine, INC. was paid $830K by Medicaid between Jan 2018 and Oct 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoWESTERN MEDICINE, INC.
FAIRBORN, OH 45324
FAIRBORN, OH 45324
33aNPI1912970468assigned 02/07/2006
33bProvider typeFamily Medicine Physician
28Total paid$830K
24GClaims30,603
24DCodes billed29
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#76 of 739
Median peer was paid$30K
This provider vs. median28×
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 | 5,763 | $171K | |
| 2019 | 4,530 | $156K | |
| 2020 | 3,459 | $139K | |
| 2021 | 4,269 | $110K | |
| 2022 | 4,944 | $101K | |
| 2023 | 5,365 | $94K | |
| 2024incomplete | 2,273 | $59K |
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 | 85% | 13,640 | 11,905 | $703K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 3,093 | 2,748 | $113K |
| 90682 | <1% | 160 | 147 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 217 | 204 | $4K |
| 90686 | <1% | 49 | 49 | $837.26 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 60 | 30 | $726.08 |
| 98928 | <1% | 22 | 12 | $687.50 | |
| 90674 | <1% | 14 | 14 | $402.72 | |
| 81003 | <1% | 142 | 127 | $249.67 | |
| 3078F | <1% | 676 | 609 | $165.01 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 25 | 24 | $160.01 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $153.22 |
17 more codes
| 3074F | <1% | 727 | $135.02 | |
| 3079F | <1% | 165 | $130.00 | |
| 99406 | <1% | 17 | $107.02 | |
| 3077F | <1% | 66 | $90.00 | |
| 3075F | <1% | 77 | $40.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 25 | $35.24 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 82 | $34.39 |
| 1159F | <1% | 2,008 | $0.02 | |
| 1160F | <1% | 2,046 | $0.02 | |
| 3008F | 0% | 913 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 3,141 | $0.00 |
| 1125F | 0% | 71 | $0.00 | |
| 1111F | 0% | 63 | $0.00 | |
| 3017F | 0% | 52 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,882 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 139 | $0.00 |
| 2022F | 0% | 19 | $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 officialDEAN, JACOB (OWNER)