Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Athens Medical Associates, LLC

Athens Medical Associates, LLC was paid $3.89M by Medicaid between Jan 2018 and Feb 2020, across 100 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoATHENS MEDICAL ASSOCIATES, LLC
ATHENS, OH 45701
33aNPI1982714358assigned 08/30/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.89M
24GClaims122,510
24DCodes billed100
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers

Next to other Internal Medicine Physician providers in Ohio

Rank by total paid#12 of 663
Median peer was paid$17K
This provider vs. median223×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201856,591$1.80M
201957,178$1.78M
20208,741$302K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 40,324 36,912 $1.56M
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 35% 26,574 24,271 $1.36M
90460 Immunization administration through 18 years of age via any route, first or only component 3.9% 9,574 3,544 $150K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.0% 2,184 2,143 $116K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.5% 1,925 1,877 $96K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.3% 1,519 1,500 $90K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.9% 1,679 1,595 $74K
98929 <1% 1,019 840 $33K
88307 <1% 748 728 $31K
80305 <1% 3,958 2,935 $30K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 779 763 $25K
98928 <1% 815 621 $23K
88 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,882 $22K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 330 $21K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 378 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 954 $19K
99215 Doctor's office visit, returning patient (complex) <1% 270 $17K
99220 <1% 253 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 954 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 172 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 174 $11K
99204 Doctor's office visit, new patient (more involved) <1% 162 $11K
99460 <1% 130 $10K
98927 <1% 455 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 694 $9K
20610 <1% 231 $8K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 220 $8K
83036 Hemoglobin; glycosylated (A1C) <1% 1,350 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 450 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 723 $6K
99238 Hospital discharge day management, 30 minutes or less <1% 190 $6K
99217 <1% 243 $5K
92551 <1% 781 $5K
90686 <1% 450 $5K
81025 <1% 657 $4K
51798 <1% 403 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 251 $3K
82962 <1% 1,989 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 259 $3K
88304 <1% 291 $3K
36415 Collection of venous blood by venipuncture <1% 1,400 $3K
98926 <1% 160 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 328 $2K
99173 <1% 842 $2K
76819 Fetal biophysical profile; without non-stress testing <1% 28 $2K
96127 <1% 474 $2K
45384 <1% 13 $2K
H1000 Prenatal care, at-risk assessment <1% 124 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 133 $1K
99232 Hospital visit by a doctor, follow-up day <1% 145 $1K
11750 <1% 19 $1K
99239 Hospital discharge day management, more than 30 minutes <1% 80 $1K
90682 <1% 58 $1K
76813 <1% 13 $1K
52000 <1% 15 $1K
D1208 Topical application of fluoride, excluding varnish <1% 54 $835.65
99219 <1% 28 $812.34
99462 <1% 21 $742.50
99223 Prolong inpt eval add15 m <1% 12 $736.90
54150 <1% 13 $664.88
88302 <1% 84 $645.61
81002 <1% 304 $600.66
81003 <1% 317 $495.72
99307 <1% 163 $475.71
20550 <1% 24 $408.47
99233 Hospital visit by a doctor, follow-up day (complex) <1% 13 $392.34
11720 <1% 89 $374.49
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 30 $348.35
90670 <1% 685 $333.90
99251 <1% 13 $322.01
99308 Subsequent nursing facility care, per day, straightforward <1% 143 $309.06
90698 <1% 712 $254.40
59025 Fetal non-stress test <1% 12 $231.44
90680 <1% 280 $222.60
71046 Radiologic examination, chest; 2 views <1% 15 $196.12
90744 <1% 151 $190.80
90700 <1% 30 $190.80
J1030 Injection, methylprednisolone acetate, 40 mg <1% 37 $156.22
90685 <1% 54 $143.10
90713 <1% 14 $79.50
86308 <1% 13 $60.66
90633 <1% 55 $31.80
36416 <1% 22 $27.07
1036F 0% 1,193 $0.00
3074F 0% 840 $0.00
3079F 0% 152 $0.00
3044F 0% 81 $0.00
G0008 Administration of influenza virus vaccine 0% 25 $0.00
3075F 0% 14 $0.00
3080F 0% 12 $0.00
90696 0% 14 $0.00
3078F 0% 615 $0.00
2028F 0% 543 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 2,023 $0.00
4004F 0% 831 $0.00
3045F 0% 303 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 2,023 $0.00
3046F 0% 187 $0.00
3077F 0% 28 $0.00
90710 0% 12 $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 officialROTHSTEIN, MARK (EXECUTIVE DIRECTOR)