NP / PA
Fomujang, Mafon
Fomujang, Mafon was paid $11K by Medicaid between Oct 2024 and Dec 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.
33Billing provider infoFOMUJANG, MAFON
AUSTIN, TX 78705
AUSTIN, TX 78705
33aNPI1013442102assigned 04/26/2017
33bProvider typePsychiatric/Mental Health Clinical Nurse Specialist
28Total paid$11K
24GClaims133
24DCodes billed2
24AFirst – last monthOct 2024 – Dec 2024
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 | |
|---|---|---|---|
| 2024incomplete | 133 | $11K |
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 | 98% | 121 | 105 | $11K |
| 96127 | 2.5% | 12 | 12 | $280.77 |
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.