Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › ATHENS › ATHENS MEDICAL ASSOCIATES, LLC

ATHENS MEDICAL ASSOCIATES, LLC

NPI: 1982714358 · ATHENS, OH 45701 · Internal Medicine Physician · NPI assigned 08/30/2006

$3.89M
Total Medicaid Paid
122,510
Total Claims
106,682
Beneficiaries
100
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialROTHSTEIN, MARK (EXECUTIVE DIRECTOR)
NPI Enumeration Date08/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56,591 $1.80M
2019 57,178 $1.78M
2020 8,741 $302K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,324 36,912 $1.56M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,574 24,271 $1.36M
90460 Immunization administration through 18 years of age via any route, first or only component 9,574 3,544 $150K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,184 2,143 $116K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,925 1,877 $96K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,519 1,500 $90K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,679 1,595 $74K
98929 1,019 840 $33K
88307 748 728 $31K
80305 3,958 2,935 $30K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 779 763 $25K
98928 815 621 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,882 986 $22K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 330 310 $21K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 378 361 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 954 846 $19K
99215 Prolong outpt/office vis 270 255 $17K
99220 253 247 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 954 930 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 172 169 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 174 174 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 162 157 $11K
99460 130 130 $10K
98927 455 412 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 694 604 $9K
20610 231 190 $8K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 220 214 $8K
83036 Hemoglobin; glycosylated (A1C) 1,350 1,298 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 450 438 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 723 710 $6K
99238 Hospital discharge day management, 30 minutes or less 190 188 $6K
99217 243 236 $5K
92551 781 776 $5K
90686 450 447 $5K
81025 657 627 $4K
51798 403 381 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 251 250 $3K
82962 1,989 1,857 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 259 141 $3K
88304 291 281 $3K
36415 Collection of venous blood by venipuncture 1,400 1,318 $3K
98926 160 123 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 328 315 $2K
99173 842 822 $2K
76819 Fetal biophysical profile; without non-stress testing 28 25 $2K
96127 474 469 $2K
45384 13 13 $2K
H1000 Prenatal care, at-risk assessment 124 121 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 133 96 $1K
99232 Subsequent hospital care, per day, moderate complexity 145 64 $1K
11750 19 13 $1K
99239 Hospital discharge day management, more than 30 minutes 80 75 $1K
90682 58 55 $1K
76813 13 13 $1K
52000 15 15 $1K
D1208 Topical application of fluoride, excluding varnish 54 52 $835.65
99219 28 26 $812.34
99462 21 12 $742.50
99223 Prolong inpt eval add15 m 12 12 $736.90
54150 13 13 $664.88
88302 84 76 $645.61
81002 304 288 $600.66
81003 317 309 $495.72
99307 163 157 $475.71
20550 24 12 $408.47
99233 Prolong inpt eval add15 m 13 12 $392.34
11720 89 88 $374.49
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30 29 $348.35
90670 685 674 $333.90
99251 13 12 $322.01
99308 Subsequent nursing facility care, per day, straightforward 143 141 $309.06
90698 712 697 $254.40
59025 Fetal non-stress test 12 12 $231.44
90680 280 273 $222.60
71046 Radiologic examination, chest; 2 views 15 15 $196.12
90744 151 149 $190.80
90700 30 30 $190.80
J1030 Injection, methylprednisolone acetate, 40 mg 37 28 $156.22
90685 54 52 $143.10
90713 14 14 $79.50
86308 13 12 $60.66
90633 55 53 $31.80
36416 22 14 $27.07
1036F 1,193 1,145 $0.00
3074F 840 801 $0.00
3079F 152 150 $0.00
3044F 81 74 $0.00
G0008 Administration of influenza virus vaccine 25 25 $0.00
3075F 14 14 $0.00
3080F 12 12 $0.00
90696 14 14 $0.00
3078F 615 589 $0.00
2028F 543 530 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,023 1,937 $0.00
4004F 831 795 $0.00
3045F 303 300 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 2,023 1,937 $0.00
3046F 187 177 $0.00
3077F 28 27 $0.00
90710 12 12 $0.00