Fallon, Paul

Fallon, Paul was paid $18K by Medicaid between Jan 2018 and Mar 2020, across 4 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 75% of everything it billed.

33Billing provider infoFALLON, PAUL
PORTSMOUTH, NH 03801

33aNPI1093889206assigned 11/20/2006

33bProvider typePsychiatry Physician

28Total paid$18K

24GClaims497

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Psychiatry Physician providers in New Hampshire

Rank by total paid#4 of 10

Median peer was paid$7K

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
2018	119	$4K
2019	323	$13K
2020	55	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	75%	445	222	$14K
90792	Psychiatric diagnostic evaluation with medical services	13%	22	22	$2K
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	7.6%	16	14	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.9%	14	14	$884.10

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.