Physician
Town Street Medical, LLC
Town Street Medical, LLC was paid $5.69M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoTOWN STREET MEDICAL, LLC
COLUMBUS, OH 43207
COLUMBUS, OH 43207
33aNPI1922464437assigned 01/13/2016
33bProvider typeFamily Medicine Physician
28Total paid$5.69M
24GClaims234,249
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#21 of 739
Median peer was paid$30K
This provider vs. median192×
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 | 35,638 | $812K | |
| 2019 | 46,994 | $1.14M | |
| 2020 | 41,913 | $1.06M | |
| 2021 | 32,510 | $790K | |
| 2022 | 29,506 | $696K | |
| 2023 | 26,490 | $618K | |
| 2024incomplete | 21,198 | $582K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 59% | 81,105 | 37,085 | $3.37M |
| 80305 | 11% | 70,377 | 35,724 | $620K | |
| 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 | 10% | 9,649 | 8,725 | $572K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 6.5% | 10,929 | 6,145 | $372K |
| 94010 | 2.1% | 5,979 | 5,696 | $119K | |
| 99406 | 1.6% | 10,651 | 10,107 | $92K | |
| 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 | 1.5% | 1,067 | 1,018 | $84K |
| 81025 | 1.2% | 11,224 | 10,106 | $69K | |
| 87806 | <1% | 2,294 | 2,190 | $54K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,831 | 2,713 | $39K |
| 93000 | <1% | 2,536 | 2,459 | $37K | |
| 80061 | Lipid panel | <1% | 3,203 | 3,055 | $34K |
39 more codes
| 99205 | Prolong outpt/office vis | <1% | 269 | $27K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 266 | $22K |
| 94060 | <1% | 470 | $19K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 234 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,184 | $15K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 209 | $13K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 582 | $11K |
| 85018 | <1% | 5,564 | $11K | |
| 72110 | <1% | 329 | $11K | |
| 82044 | <1% | 2,590 | $10K | |
| 99490 | Ccm add 20min | <1% | 1,568 | $10K |
| 82570 | <1% | 2,596 | $9K | |
| 70220 | <1% | 305 | $9K | |
| 82947 | <1% | 2,567 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 704 | $5K |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 97 | $5K |
| 73030 | <1% | 199 | $4K | |
| 72050 | <1% | 101 | $3K | |
| 86318 | <1% | 219 | $3K | |
| 99496 | <1% | 18 | $3K | |
| 73630 | <1% | 90 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 66 | $2K |
| 81002 | <1% | 771 | $2K | |
| 73130 | <1% | 79 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 113 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 590 | $1K |
| 74018 | <1% | 52 | $971.42 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 101 | $946.79 |
| 90756 | <1% | 38 | $789.17 | |
| 73565 | <1% | 45 | $779.44 | |
| 73521 | <1% | 27 | $684.89 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | $584.43 |
| 73590 | <1% | 26 | $538.14 | |
| 73560 | <1% | 13 | $267.96 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $144.96 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 35 | $0.00 |
| 97802 | 0% | 31 | $0.00 | |
| 99497 | 0% | 177 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 35 | $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 officialROYDER, MONA (CEO/OWNER)