Pensler, Mark

Pensler, Mark was paid $144K by Medicaid between Jan 2018 and Mar 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 51% of everything it billed.

33Billing provider infoPENSLER, MARK
WYANDOTTE, MI 48192

33aNPI1043274814assigned 04/17/2006

33bProvider typePulmonary Disease Physician

28Total paid$144K

24GClaims2,709

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Michigan

Rank by total paid#28 of 63

Median peer was paid$118K

This provider vs. median1.2×

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	401	$16K
2019	450	$19K
2020	437	$30K
2021	906	$58K
2022	382	$15K
2023	105	$4K
2024incomplete	28	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	51%	1,860	797	$73K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	19%	478	194	$28K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	18%	217	80	$26K
99223	Prolong inpt eval add15 m	12%	154	152	$17K

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.