Plosky, Daniel

Plosky, Daniel was paid $108K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoPLOSKY, DANIEL
SPRINGFIELD, MA 01107

33aNPI1093999484assigned 12/21/2007

33bProvider typeOtolaryngology Physician

28Total paid$108K

24GClaims2,268

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Otolaryngology Physician providers in Massachusetts

Rank by total paid#15 of 90

Median peer was paid$14K

This provider vs. median7.8×

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	485	$27K
2019	438	$22K
2020	611	$25K
2021	260	$9K
2022	285	$15K
2023	49	$2K
2024incomplete	140	$8K

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	56%	1,052	1,036	$60K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	37%	473	473	$40K
95117		5.6%	666	536	$6K
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	1.1%	14	14	$1K
92567		<1%	63	63	$737.40

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.