Antoine Pepeljugoski, Crystal
Antoine Pepeljugoski, Crystal was paid $10K by Medicaid between Dec 2020 and May 2023, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.
33Billing provider infoANTOINE PEPELJUGOSKI, CRYSTAL
STONY BROOK, NY 11794
STONY BROOK, NY 11794
33aNPI1073856357assigned 04/04/2013
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$10K
24GClaims375
24DCodes billed4
24AFirst – last monthDec 2020 – May 2023
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New York
Rank by total paid#612 of 2,013
Median peer was paid$4K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2020 | 33 | $417.36 | |
| 2021 | 162 | $5K | |
| 2022 | 166 | $5K | |
| 2023 | 14 | $432.14 |
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 | 91% | 296 | 291 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.8% | 20 | 18 | $899.13 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 45 | 43 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 14 | 14 | $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.