Downing, Sibyl

Downing, Sibyl was paid $117K by Medicaid between Jan 2018 and Dec 2020, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoDOWNING, SIBYL
SAINT JOSEPH, MO 64506

33aNPI1093744948assigned 07/02/2006

33bProvider typeInternal Medicine Physician

28Total paid$117K

24GClaims3,073

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Internal Medicine Physician providers in Missouri

Rank by total paid#63 of 364

Median peer was paid$10K

This provider vs. median11×

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	1,003	$38K
2019	1,286	$53K
2020	784	$26K

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	37%	1,158	1,052	$43K
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	29%	613	567	$35K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	20%	386	354	$23K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.9%	96	93	$6K
90723		2.2%	99	98	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.0%	90	85	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	104	100	$1K
99460		<1%	15	14	$984.47
90670		<1%	182	179	$948.90
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	15	15	$911.72
90686		<1%	128	128	$664.75
90648		<1%	105	104	$555.06

4 more codes

99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	15	$255.30
90680		<1%	39	$207.95
99173		<1%	15	$112.50
90647		<1%	13	$67.60

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.