Say, Doris

Say, Doris was paid $976K by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoSAY, DORIS
SACRAMENTO, CA 95822

33aNPI1033194345assigned 12/08/2005

33bProvider typePediatrics Physician

28Total paid$976K

24GClaims57,967

24DCodes billed44

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#134 of 1,490

Median peer was paid$15K

This provider vs. median65×

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	7,216	$113K
2019	8,290	$110K
2020	7,909	$117K
2021	8,281	$197K
2022	8,657	$193K
2023	9,311	$233K
2024incomplete	8,303	$14K

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	41%	11,371	9,398	$398K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	15%	1,195	1,193	$143K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	13%	1,860	1,851	$127K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.9%	2,101	1,947	$96K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.2%	1,123	1,091	$61K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.5%	1,829	1,764	$54K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.6%	516	497	$25K
99460		2.1%	803	792	$21K
65205		1.1%	97	97	$11K
90480		<1%	130	130	$5K
92552		<1%	4,030	4,008	$5K
99239	Hospital discharge day management, more than 30 minutes	<1%	509	506	$4K

32 more codes

30901		<1%	305	$4K
69210		<1%	236	$4K
91320		<1%	119	$4K
90686		<1%	3,398	$3K
91319		<1%	81	$2K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	228	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	1,214	$1K
85018		<1%	5,168	$1K
81000		<1%	4,263	$990.49
90651		<1%	1,044	$909.38
90472	Immunization administration, each additional vaccine (list separately)	<1%	2,658	$615.82
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	7,174	$455.64
90670		<1%	402	$145.89
90656		<1%	287	$111.75
90734		<1%	75	$111.24
90677		<1%	12	$60.00
90648		<1%	225	$54.00
99173		<1%	4,030	$33.16
69209		<1%	280	$25.89
90713		<1%	55	$18.00
90680		<1%	58	$18.00
90700		<1%	175	$9.27
90633		0%	184	$0.00
90685		0%	224	$0.00
90707		0%	61	$0.00
11420		0%	18	$0.00
0004A		0%	13	$0.00
90716		0%	241	$0.00
90620		0%	96	$0.00
91305		0%	13	$0.00
90619		0%	35	$0.00
86580		0%	31	$0.00

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.