Wilmington Physicians Group LLC
Wilmington Physicians Group LLC was paid $3.04M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
WILMINGTON, OH 45177
Next to other Dentist providers in Ohio
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,192 | $416K | |
| 2019 | 9,934 | $339K | |
| 2020 | 10,944 | $363K | |
| 2021 | 39,806 | $460K | |
| 2022 | 50,780 | $513K | |
| 2023 | 53,570 | $518K | |
| 2024incomplete | 32,824 | $434K |
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 | 45% | 28,231 | 25,613 | $1.38M |
| 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% | 34,673 | 30,098 | $1.23M |
| 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 | 2.4% | 1,132 | 1,080 | $74K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 1,353 | 1,295 | $59K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.4% | 507 | 453 | $43K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.3% | 221 | 191 | $41K |
| H1000 | Prenatal care, at-risk assessment | 1.3% | 433 | 399 | $38K |
| 99442 | <1% | 1,223 | 1,105 | $29K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 486 | 459 | $28K |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,895 | 11,745 | $26K |
| 20610 | <1% | 536 | 471 | $21K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 196 | 166 | $16K |
43 more codes
| 81002 | <1% | 5,321 | $11K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 165 | $7K |
| 87428 | <1% | 246 | $7K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 60 | $5K |
| 81025 | <1% | 792 | $4K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 141 | $3K |
| 73564 | <1% | 235 | $3K | |
| 92557 | <1% | 79 | $2K | |
| 90686 | <1% | 162 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 499 | $2K |
| 96160 | <1% | 579 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 87 | $1K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 16 | $1K |
| 99443 | <1% | 195 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $1K |
| 99460 | <1% | 12 | $941.64 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 75 | $934.53 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 12 | $806.29 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44 | $803.80 |
| 92567 | <1% | 90 | $785.47 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 19 | $781.20 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 60 | $606.52 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 70 | $601.48 |
| 99152 | <1% | 56 | $526.05 | |
| 99401 | <1% | 16 | $402.96 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $396.82 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $393.94 |
| 90674 | <1% | 14 | $222.50 | |
| 99441 | <1% | 13 | $152.17 | |
| 82950 | <1% | 51 | $99.95 | |
| 1036F | <1% | 18,363 | $69.75 | |
| 1160F | <1% | 25,622 | $57.06 | |
| 73562 | <1% | 15 | $48.19 | |
| 3008F | <1% | 25,780 | $43.26 | |
| 3074F | <1% | 17,751 | $1.81 | |
| 3078F | <1% | 14,105 | $0.05 | |
| 3075F | <1% | 2,228 | $0.01 | |
| 3079F | 0% | 7,565 | $0.00 | |
| 1126F | 0% | 2,070 | $0.00 | |
| 3080F | 0% | 1,132 | $0.00 | |
| 1125F | 0% | 1,216 | $0.00 | |
| 3077F | 0% | 1,852 | $0.00 | |
| 3725F | 0% | 1,320 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Rchp-Wilmington, LLC | Wilmington, OH | $13.53M |
| Providence Hospital, LLC | Columbia, SC | $12.68M |
| Vaughan Regional Medical Center LLC | Selma, AL | $8.15M |
| Kershaw Hospital LLC | Camden, SC | $7.93M |
| Bolivar Physician Practices LLC | Cleveland, MS | $3.05M |
| Phc-Morgan City LP | Morgan City, LA | $2.37M |
| Community Hospital of Andalusia LLC | Andalusia, AL | $2.27M |
| Vaughan Regional Medical Center LLC | Marion, AL | $2.15M |
| PRHC Ennis LP | Ennis, TX | $1.81M |
| Andalusia Physician Practices LLC | Andalusia, AL | $847K |
| Meadowview Physician Practice LLC | Maysville, KY | $783K |
| Logan Physician Practice LLC | Auburn, KY | $458K |
| Logan Physician Practice LLC | Russellville, KY | $317K |
| Kentucky Mso LLC | Georgetown, KY | $248K |
| Rchp-Wilmington, LLC | Wilmington, OH | $165K |
| Meadowview Physician Practice LLC | Maysville, KY | $140K |
| Amg-Southern Tennessee LLC | Monteagle, TN | $136K |
| Lake Cumberland Physician Practices LLC | Somerset, KY | $135K |
| Lake Cumberland Physician Practices LLC | Somerset, KY | $57K |
| Kershaw Hospital LLC | Lugoff, SC | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.