Columbus Neighborhood Health Center Inc — Billing Profile & Reimbursement Data
NPI 1851474993 · Columbus, OH · Federally Qualified Health Center (FQHC)
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Columbus Neighborhood Health Center Inc is a federally qualified health center (fqhc) provider located in Columbus, Ohio. This profile covers 0 Medicare and 111 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Columbus Neighborhood Health Center Inc |
| Address | 1180 E Main St |
| City | Columbus |
| State | OH |
| ZIP | 43205 |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| NPI Enumerated | October 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.7M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
111 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 105,310 | $50 | $5.7M |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 64,170 | $20 | $1.2M |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 20,890 | $10 | $292.5K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 8,800 | $30 | $228.8K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 4,630 | $30 | $148.3K |
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 8,610 | $20 | $129.1K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 7,160 | $10 | $93K |
| 76801 | In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than… | 2,690 | $30 | $83.3K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 17,330 | $1 | $69.3K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 6,990 | $10 | $55.9K |
Showing 1–10 of 111
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
111 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 22 | 530 | 7,190 | $70 | $1.5M |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 447 | 2,640 | 620 | $90 | $408.2K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 522 | 4,510 | 500 | $60 | $377.8K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 97 | 5,080 | 560 | $40 | $323.9K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 220 | 430 | 560 | $60 | $303.2K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 283 | 480 | 450 | $70 | $292.9K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 369 | 700 | 210 | $60 | $154.1K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 383 | 1,320 | 290 | $50 | $148.6K |
| 92551 | The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems. | 121 | 290 | 180 | $50 | $147.4K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 581 | 920 | 510 | $70 | $144K |
Showing 1–10 of 111
Nearby Providers
Other providers in the same ZIP code as Columbus Neighborhood Health Center Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Nationwide Children's Hospital | OH | General Acute Care Hospital | $0 | $777.8M |
| Pediatric Academic Association, Inc. | OH | Pediatrics Physician | $0 | $37.2M |
| St Vincent Family Centers | OH | Adolescent and Children Mental Health Clinic/Center | $0 | $29.6M |
| River's Crossing Home Care LLC | OH | Home Health Agency | $0 | $15.2M |
| Nationwide Children's Hospital | OH | Multi-Specialty Clinic/Center | $0 | $13M |
| Pediatric Ophthalmology Associates Inc. | OH | Ophthalmology Physician | $0 | $9.5M |
| Manmohan Katapadi | OH | Cardiovascular Disease Physician | $183.2K | $25.3K |
| Thomas Keeling | OH | Infectious Disease Physician | $204.5K | $0 |
| James Smith | OH | Infectious Disease Physician | $190.3K | $0 |
| Matthew Robertson | OH | Diagnostic Radiology Physician | $108.7K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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