Costa, Petronilo

Costa, Petronilo was paid $15K by Medicaid between Jan 2018 and May 2018, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

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	352	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	55%	296	272	$8K
90792	Psychiatric diagnostic evaluation with medical services	45%	56	55	$7K

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.