Providence Medical Group
Providence Medical Group was paid $7.86M by Medicaid between Jan 2018 and Dec 2024, across 120 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoPROVIDENCE MEDICAL GROUP
DAYTON, OH 45439
DAYTON, OH 45439
33aNPI1972533149assigned 07/04/2006
33bProvider typeRegistered Dietitian
28Total paid$7.86M
24GClaims335,386
24DCodes billed120
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Registered Dietitian providers in Ohio
Rank by total paid#2 of 9
Median peer was paid$1.90M
This provider vs. median4.1×
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 | 66,925 | $1.67M | |
| 2019 | 55,565 | $1.35M | |
| 2020 | 40,873 | $1.05M | |
| 2021 | 45,335 | $1.03M | |
| 2022 | 43,531 | $954K | |
| 2023 | 49,052 | $999K | |
| 2024incomplete | 34,105 | $801K |
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 | 39% | 52,777 | 48,737 | $3.04M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 72,284 | 65,733 | $2.90M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.5% | 8,546 | 8,172 | $276K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.3% | 6,293 | 4,302 | $182K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 6,298 | 5,713 | $102K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 1,717 | 1,697 | $98K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.2% | 4,603 | 3,539 | $97K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 1,296 | 1,243 | $84K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 1,412 | 1,394 | $80K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,169 | 1,134 | $70K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 957 | 932 | $60K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,125 | 1,019 | $57K |
108 more codes
| 95811 | <1% | 769 | $54K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 3,802 | $53K |
| 90686 | <1% | 3,892 | $49K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,179 | $48K |
| 99050 | <1% | 2,874 | $48K | |
| 80061 | Lipid panel | <1% | 3,652 | $44K |
| 80053 | Comprehensive metabolic panel | <1% | 4,101 | $41K |
| Q3014 | Telehealth originating site facility fee | <1% | 2,168 | $40K |
| 99305 | <1% | 1,132 | $39K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,386 | $33K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 541 | $31K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 2,459 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,447 | $24K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 292 | $23K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,347 | $22K |
| 99205 | Prolong outpt/office vis | <1% | 196 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 315 | $20K |
| 96127 | <1% | 4,243 | $17K | |
| 3008F | <1% | 83,747 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 571 | $15K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 458 | $15K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 276 | $14K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,480 | $13K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,175 | $11K |
| 99307 | <1% | 695 | $10K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 641 | $10K |
| 99441 | <1% | 510 | $7K | |
| 99318 | <1% | 255 | $6K | |
| 99304 | <1% | 209 | $5K | |
| 82607 | <1% | 297 | $4K | |
| 90670 | <1% | 599 | $4K | |
| 3074F | <1% | 5,722 | $4K | |
| 84481 | <1% | 203 | $3K | |
| 84439 | <1% | 433 | $3K | |
| 3079F | <1% | 3,506 | $3K | |
| 0072A | <1% | 53 | $3K | |
| 81003 | <1% | 1,759 | $3K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 329 | $3K |
| 90648 | <1% | 164 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 902 | $2K |
| 82728 | <1% | 117 | $2K | |
| 90633 | <1% | 95 | $2K | |
| 90656 | <1% | 200 | $2K | |
| 90698 | <1% | 242 | $1K | |
| 3078F | <1% | 3,188 | $1K | |
| 82570 | <1% | 340 | $1K | |
| 82044 | <1% | 341 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 28 | $1K |
| 83550 | <1% | 119 | $1K | |
| 0012A | <1% | 26 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 30 | $1K |
| 0011A | <1% | 26 | $953.32 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 41 | $910.02 |
| 99315 | <1% | 42 | $893.55 | |
| 83540 | <1% | 132 | $855.81 | |
| G0472 | Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | <1% | 163 | $831.54 |
| 84153 | <1% | 53 | $794.64 | |
| 90680 | <1% | 113 | $750.00 | |
| 99442 | <1% | 29 | $659.42 | |
| 86803 | <1% | 49 | $623.76 | |
| 99457 | <1% | 17 | $577.58 | |
| 3075F | <1% | 547 | $575.00 | |
| 0134A | <1% | 15 | $503.12 | |
| 99406 | <1% | 79 | $497.88 | |
| 90836 | <1% | 12 | $444.04 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 51 | $370.19 |
| 80074 | <1% | 17 | $327.74 | |
| 90723 | <1% | 45 | $300.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 41 | $289.70 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 76 | $286.85 |
| 84403 | <1% | 13 | $272.48 | |
| 85651 | <1% | 79 | $266.63 | |
| G0008 | Administration of influenza virus vaccine | <1% | 27 | $242.97 |
| 82274 | <1% | 14 | $240.66 | |
| 90651 | <1% | 28 | $233.80 | |
| 99173 | <1% | 92 | $226.20 | |
| 82977 | <1% | 28 | $200.44 | |
| 80076 | <1% | 28 | $170.79 | |
| 90744 | <1% | 18 | $170.00 | |
| 3044F | <1% | 231 | $170.00 | |
| 90473 | <1% | 13 | $155.40 | |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | <1% | 26 | $110.34 |
| 86592 | <1% | 26 | $92.40 | |
| 81025 | <1% | 14 | $91.00 | |
| 82150 | <1% | 14 | $86.71 | |
| 83690 | <1% | 13 | $85.08 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 46 | $83.06 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 50 | $76.17 |
| 3077F | <1% | 150 | $75.00 | |
| 90660 | <1% | 15 | $57.84 | |
| 3725F | <1% | 7,449 | $18.05 | |
| 91307 | <1% | 96 | $0.67 | |
| 91301 | <1% | 44 | $0.44 | |
| 90671 | <1% | 70 | $0.23 | |
| 1160F | 0% | 8,075 | $0.00 | |
| 2028F | 0% | 217 | $0.00 | |
| 1159F | 0% | 610 | $0.00 | |
| 90707 | 0% | 84 | $0.00 | |
| 90734 | 0% | 27 | $0.00 | |
| 90685 | 0% | 161 | $0.00 | |
| 90649 | 0% | 15 | $0.00 | |
| 99499 | 0% | 12 | $0.00 | |
| 1036F | 0% | 1,399 | $0.00 | |
| 1034F | 0% | 280 | $0.00 | |
| 1125F | 0% | 277 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 12 | $0.00 |
| 3080F | 0% | 32 | $0.00 | |
| 90716 | 0% | 71 | $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 officialBECKER, SUSAN (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mobile Nursing Services, LTD. | Fort Madison, IA | $111K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.