Paul J Betschart, DPM, LLC
Paul J Betschart, DPM, LLC was paid $630K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is L3000, Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each — 31% of everything it billed.
33Billing provider infoPAUL J BETSCHART, DPM, LLC
DANBURY, CT 06810
DANBURY, CT 06810
33aNPI1134334469assigned 05/11/2007
33bProvider typePodiatrist
28Total paid$630K
24GClaims15,705
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Podiatrist providers in Connecticut
Rank by total paid#2 of 73
Median peer was paid$7K
This provider vs. median91×
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 | 1,532 | $28K | |
| 2019 | 1,509 | $27K | |
| 2020 | 1,451 | $44K | |
| 2021 | 1,748 | $62K | |
| 2022 | 2,004 | $106K | |
| 2023 | 3,165 | $172K | |
| 2024incomplete | 4,296 | $191K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 31% | 597 | 466 | $193K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 6,607 | 4,889 | $153K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 4,396 | 3,031 | $79K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 1,538 | 1,401 | $77K |
| L3216 | Orthopedic footwear, ladies shoe, depth inlay, each | 11% | 734 | 665 | $69K |
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each | 7.5% | 332 | 307 | $48K |
| 11721 | <1% | 454 | 430 | $3K | |
| L3202 | Orthopedic shoe, oxford with supinator or pronator, child | <1% | 13 | 13 | $2K |
| 76942 | <1% | 33 | 26 | $2K | |
| 97032 | <1% | 200 | 64 | $1K | |
| 20550 | <1% | 54 | 40 | $1K | |
| 99335 | <1% | 99 | 91 | $1K |
5 more codes
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.
From NPPES
Who's on the registration
Authorized officialBETSCHART, PAUL (MEMBER)