Backous, Craig

Backous, Craig was paid $92K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 48% of everything it billed.

33Billing provider infoBACKOUS, CRAIG
FARGO, ND 58102

33aNPI1073713418assigned 07/24/2007

33bProvider typeInternal Medicine Physician

28Total paid$92K

24GClaims2,646

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in North Dakota

Rank by total paid#2 of 10

Median peer was paid$4K

This provider vs. median23×

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	530	$9K
2019	604	$11K
2020	338	$26K
2021	297	$10K
2022	379	$20K
2023	228	$7K
2024incomplete	270	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	48%	406	169	$44K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	32%	1,101	547	$29K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	17%	1,007	450	$15K
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	2.5%	55	53	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	17	14	$505.19
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	24	13	$503.74
94010		<1%	12	12	$63.28
94727		<1%	12	12	$59.84
94729		<1%	12	12	$44.48

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.