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OHIOHEALTH CORPORATION

Family Medicine·COLUMBUS, OH·NPI: 1578545273Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $88.9M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$88.9M

$88,934,698

Total Claims

3.3M

Beneficiaries

2.8M

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$9.3M
+6%
2019
$9.9M
-6%
2020
$9.3M
+57%
2021
$14.7M
+8%
2022
$15.8M
+4%
2023
$16.4M
-18%
2024
$13.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 31% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$27.3M

535K claims · 30.6%

Your Cost: $50.91/claim|Median: $53.41
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$21.0M

556K claims · 23.6%

Your Cost: $37.73/claim|Median: $37.81
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3.6M

126K claims · 4.0%

Your Cost: $28.58/claim|Median: $35.30
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.5M

173K claims · 3.9%

Your Cost: $20.02/claim|Median: $23.99
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$2.5M

42K claims · 2.8%

Your Cost: $59.22/claim|Median: $67.32
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$2.1M

40K claims · 2.3%

Your Cost: $52.31/claim|Median: $101.24
0.5× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$2.0M

44K claims · 2.3%

Your Cost: $46.45/claim|Median: $57.85
0.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$2.0M

29K claims · 2.3%

Your Cost: $69.07/claim|Median: $84.03
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.8M

54K claims · 2.1%

Your Cost: $34.26/claim|Median: $54.68
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.2M

165K claims · 1.3%

Your Cost: $7.27/claim|Median: $5.60
1.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.1M

16K claims · 1.2%

Your Cost: $68.88/claim|Median: $106.79
0.6× median
95720Normal range

$1.1M

9,259 claims · 1.2%

Your Cost: $116.09/claim|Median: $120.95
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$982K

32K claims · 1.1%

Your Cost: $30.63/claim|Median: $43.85
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$930K

25K claims · 1.0%

Your Cost: $37.24/claim|Median: $58.55
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$896K

15K claims · 1.0%

Your Cost: $60.86/claim|Median: $74.09
0.8× median
99220Normal range

$872K

16K claims · 1.0%

Your Cost: $55.92/claim|Median: $73.56
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$854K

27K claims · 1.0%

Your Cost: $31.17/claim|Median: $25.06
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$797K

28K claims · 0.9%

Your Cost: $28.23/claim|Median: $17.85
1.6× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$792K

20K claims · 0.9%

Your Cost: $39.33/claim|Median: $29.03
1.4× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$591K

1,093 claims · 0.7%

Your Cost: $540.67/claim|Median: $470.36
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$465K

9,698 claims · 0.5%

Your Cost: $47.99/claim|Median: $39.70
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$454K

3,736 claims · 0.5%

Your Cost: $121.56/claim|Median: $151.68
0.8× median
95951Normal range

$433K

4,272 claims · 0.5%

Your Cost: $101.29/claim|Median: $183.28
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$412K

8,190 claims · 0.5%

Your Cost: $50.32/claim|Median: $69.35
0.7× median
99231Normal range

Subsequent hospital care, per day, low complexity

$387K

32K claims · 0.4%

Your Cost: $11.99/claim|Median: $16.77
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$372K

6,333 claims · 0.4%

Your Cost: $58.78/claim|Median: $75.18
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$360K

6,067 claims · 0.4%

Your Cost: $59.42/claim|Median: $65.64
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$319K

7,535 claims · 0.4%

Your Cost: $42.38/claim|Median: $51.25
0.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$308K

5,121 claims · 0.3%

Your Cost: $60.08/claim|Median: $62.48
1.0× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$277K

5,904 claims · 0.3%

Your Cost: $46.96/claim|Median: $33.72
1.4× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$272K

3,865 claims · 0.3%

Your Cost: $70.27/claim|Median: $121.58
0.6× median
99217Normal range

$267K

12K claims · 0.3%

Your Cost: $22.77/claim|Median: $31.89
0.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$254K

8,020 claims · 0.3%

Your Cost: $31.63/claim|Median: $47.65
0.7× median
95886Normal range

$253K

6,552 claims · 0.3%

Your Cost: $38.63/claim|Median: $67.70
0.6× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$251K

16K claims · 0.3%

Your Cost: $15.42/claim|Median: $9.80
1.6× median
H1000Top 25%

Prenatal care, at-risk assessment

$242K

2,886 claims · 0.3%

Your Cost: $83.85/claim|Median: $50.36
1.7× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$230K

2,634 claims · 0.3%

Your Cost: $87.34/claim|Median: $111.02
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$221K

2,671 claims · 0.2%

Your Cost: $82.74/claim|Median: $111.09
0.7× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$216K

13K claims · 0.2%

Your Cost: $16.66/claim|Median: $25.43
0.7× median
59025Normal range

Fetal non-stress test

$215K

10K claims · 0.2%

Your Cost: $20.92/claim|Median: $26.45
0.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$208K

5,186 claims · 0.2%

Your Cost: $40.20/claim|Median: $36.70
1.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$206K

20K claims · 0.2%

Your Cost: $10.35/claim|Median: $9.70
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$202K

16K claims · 0.2%

Your Cost: $12.82/claim|Median: $7.18
1.8× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$188K

10K claims · 0.2%

Your Cost: $18.51/claim|Median: $22.44
0.8× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$165K

2,623 claims · 0.2%

Your Cost: $63.00/claim|Median: $233.73
0.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$161K

7,049 claims · 0.2%

Your Cost: $22.80/claim|Median: $28.46
0.8× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$158K

6,694 claims · 0.2%

Your Cost: $23.58/claim|Median: $43.07
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$140K

4,469 claims · 0.2%

Your Cost: $31.39/claim|Median: $40.11
0.8× median
95911Normal range

$136K

1,464 claims · 0.2%

Your Cost: $92.67/claim|Median: $122.86
0.8× median
45380Normal range

Colonoscopy with biopsy

$135K

942 claims · 0.2%

Your Cost: $143.21/claim|Median: $200.68
0.7× median

Other Top Providers in Ohio

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The Cleveland Clinic Foundation

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Nationwide Children's Hospital

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Laboratory Corporation of America Holdings

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$617.0M

The Metrohealth System

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$574.1M

Children's Hospital Medical Center of Akron

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$556.6M

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