NP / PA
Medical Housecalls LLC
Medical Housecalls LLC was paid $404K by Medicaid between Apr 2020 and Nov 2024, across 28 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 30% of everything it billed.
33Billing provider infoMEDICAL HOUSECALLS LLC
CINCINNATI, OH 45212
CINCINNATI, OH 45212
33aNPI1962745083assigned 03/27/2013
33bProvider typeFamily Nurse Practitioner
28Total paid$404K
24GClaims33,414
24DCodes billed28
24AFirst – last monthApr 2020 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Ohio
Rank by total paid#16 of 365
Median peer was paid$4K
This provider vs. median101×
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 | |
|---|---|---|---|
| 2020 | 3,245 | $41K | |
| 2021 | 5,724 | $78K | |
| 2022 | 10,108 | $151K | |
| 2023 | 8,540 | $53K | |
| 2024incomplete | 5,797 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 30% | 8,938 | 6,412 | $121K |
| 99349 | 28% | 5,858 | 5,379 | $111K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 11% | 5,176 | 4,282 | $45K |
| 99490 | Ccm add 20min | 8.7% | 5,490 | 5,192 | $35K |
| 99439 | 4.8% | 2,177 | 2,052 | $19K | |
| 99350 | Prolong home eval add 15m | 3.3% | 484 | 451 | $13K |
| 99454 | 2.0% | 827 | 795 | $8K | |
| 99487 | Ccm add 20min | 1.9% | 695 | 668 | $8K |
| 99489 | Ccm add 20min | 1.8% | 619 | 602 | $7K |
| 99458 | 1.7% | 518 | 499 | $7K | |
| 99457 | 1.3% | 726 | 698 | $5K | |
| 99336 | 1.1% | 262 | 206 | $5K |
16 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 158 | $3K |
| 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% | 246 | $3K |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 267 | $2K |
| 99497 | <1% | 137 | $2K | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 269 | $2K |
| 99345 | Prolong home eval add 15m | <1% | 76 | $2K |
| 99442 | <1% | 122 | $1K | |
| 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% | 120 | $1K |
| 11721 | <1% | 61 | $1K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 31 | $460.40 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14 | $436.10 |
| 99441 | <1% | 60 | $395.40 | |
| 99305 | <1% | 29 | $226.40 | |
| 98967 | <1% | 23 | $164.47 | |
| 99348 | <1% | 13 | $89.28 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 18 | $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 officialHOLZMAN, JOSHUA (CEO)