Russell, Philip

Russell, Philip was paid $722K by Medicaid between Aug 2018 and May 2023, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 48% of everything it billed.

33Billing provider infoRUSSELL, PHILIP
SANFORD, ME 04073

33aNPI1073625794assigned 08/31/2006

33bProvider typePsychiatry Physician

28Total paid$722K

24GClaims7,342

24DCodes billed9

24AFirst – last monthAug 2018 – May 2023

Compared with peers

Next to other Psychiatry Physician providers in Maine

Rank by total paid#5 of 28

Median peer was paid$52K

This provider vs. median14×

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	262	$29K
2019	970	$100K
2020	1,307	$102K
2021	1,943	$173K
2022	1,920	$215K
2023	940	$103K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	48%	4,072	962	$348K
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	17%	1,237	948	$125K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	11%	524	437	$77K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	8.2%	503	426	$60K
99239	Hospital discharge day management, more than 30 minutes	5.9%	433	403	$43K
90792	Psychiatric diagnostic evaluation with medical services	4.9%	227	222	$35K
99223	Prolong inpt eval add15 m	2.5%	98	89	$18K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.3%	104	29	$9K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	1.2%	144	115	$8K

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.