Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Columbus › NPI 1922163575
Physician

Main Street Family Medicine ,LLC

Main Street Family Medicine ,LLC was paid $1.01M by Medicaid between Jan 2018 and Mar 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoMAIN STREET FAMILY MEDICINE ,LLC
COLUMBUS, OH 43205
33aNPI1922163575assigned 12/26/2006
28Total paid$1.01M
24GClaims40,331
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Family Medicine Physician providers in Ohio

Rank by total paid#69 of 739
Median peer was paid$30K
This provider vs. median34×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201810,069$240K
20198,771$214K
20205,831$168K
20216,556$163K
20224,595$123K
20233,876$83K
2024incomplete633$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 49% 10,171 9,575 $498K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40% 12,857 11,961 $406K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.9% 810 769 $39K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1.8% 2,259 2,102 $18K
36416 1.3% 5,079 4,761 $13K
99051 1.0% 539 528 $11K
82962 <1% 6,160 5,718 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 445 423 $4K
81025 <1% 495 460 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 165 124 $3K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 37 37 $2K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 47 41 $2K
7 more codes
81002 <1% 1,026 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 69 $985.20
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 41 $792.25
90658 <1% 77 $672.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 28 $408.33
G0008 Administration of influenza virus vaccine <1% 13 $57.90
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) <1% 13 $52.02

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 officialGOWDA, CHANDRE (PHYSICIAN)