Physician
Pentschev, Stefan
Pentschev, Stefan was paid $5K by Medicaid between Nov 2019 and Aug 2021, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoPENTSCHEV, STEFAN
EXETER, CA 93221
EXETER, CA 93221
33aNPI1154344927assigned 07/25/2006
33bProvider typeFamily Medicine Physician
28Total paid$5K
24GClaims5,527
24DCodes billed20
24AFirst – last monthNov 2019 – Aug 2021
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,502 of 2,511
Median peer was paid$13K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 336 | $0.00 | |
| 2020 | 3,148 | $2K | |
| 2021 | 2,043 | $3K |
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% | 3,016 | 2,397 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 19% | 1,383 | 1,159 | $939.41 |
| 81002 | 11% | 330 | 316 | $559.19 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 35 | 34 | $130.33 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 2.6% | 39 | 39 | $126.16 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.3% | 25 | 24 | $113.19 |
| 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 | 1.8% | 36 | 34 | $86.25 |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.5% | 34 | 26 | $71.14 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.0% | 22 | 21 | $50.60 |
| G9920 | Screening performed and negative | <1% | 15 | 15 | $31.85 |
| 3075F | <1% | 29 | 28 | $26.41 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 132 | 131 | $0.00 |
8 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 215 | $0.00 |
| 3074F | 0% | 15 | $0.00 | |
| 3079F | 0% | 12 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 31 | $0.00 |
| 90686 | 0% | 43 | $0.00 | |
| 3078F | 0% | 86 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 12 | $0.00 |
| 90715 | 0% | 17 | $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.