Opinaldo, Philma

Opinaldo, Philma was paid $39K by Medicaid between Jan 2018 and Mar 2020, across 7 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 88% of everything it billed.

33Billing provider infoOPINALDO, PHILMA
POPLAR BLUFF, MO 63901

33aNPI1023128840assigned 08/30/2006

33bProvider typeInternal Medicine Physician

28Total paid$39K

24GClaims3,798

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Internal Medicine Physician providers in Missouri

Rank by total paid#122 of 364

Median peer was paid$10K

This provider vs. median3.8×

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	1,960	$19K
2019	1,533	$17K
2020	305	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	88%	2,202	2,127	$34K
85018		7.0%	1,260	1,230	$3K
90715		1.7%	51	42	$654.92
90734		1.3%	117	99	$515.92
90686		1.1%	80	80	$419.41
90633		<1%	70	61	$317.20
90716		<1%	18	12	$62.40

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.