Clinic
Yellow Springs Primary Care, INC
Yellow Springs Primary Care, INC was paid $1.04M by Medicaid between Jul 2018 and Feb 2022, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoYELLOW SPRINGS PRIMARY CARE, INC
YELLOW SPRINGS, OH 45387
YELLOW SPRINGS, OH 45387
33aNPI1992127500assigned 01/16/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$1.04M
24GClaims29,600
24DCodes billed18
24AFirst – last monthJul 2018 – Feb 2022
Compared with peers
Next to other Primary Care Clinic/Center providers in Ohio
Rank by total paid#14 of 118
Median peer was paid$67K
This provider vs. median16×
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 | 1,057 | $50K | |
| 2019 | 7,682 | $194K | |
| 2020 | 12,019 | $329K | |
| 2021 | 8,389 | $447K | |
| 2022 | 453 | $21K |
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 | 43% | 10,807 | 6,054 | $452K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 35% | 9,778 | 6,135 | $368K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 6,983 | 3,650 | $173K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 130 | 117 | $12K |
| 98929 | 1.0% | 423 | 213 | $11K | |
| 98928 | <1% | 254 | 155 | $6K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 150 | 64 | $5K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 84 | 51 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 296 | 188 | $3K |
| 98927 | <1% | 119 | 64 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 141 | 127 | $2K |
| 80305 | <1% | 228 | 180 | $2K |
6 more codes
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 officialGRONBECK, DONALD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Yellow Springs Primary Care, INC | Yellow Springs, OH | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.