Povanda, Paul

Povanda, Paul was paid $73K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoPOVANDA, PAUL
ELMIRA, NY 14905

33aNPI1164525325assigned 09/06/2006

33bProvider typeInternal Medicine Physician

28Total paid$73K

24GClaims3,176

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,452 of 6,049

Median peer was paid$11K

This provider vs. median6.5×

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	484	$9K
2019	690	$10K
2020	173	$6K
2021	334	$9K
2022	456	$12K
2023	546	$13K
2024incomplete	493	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	80%	2,346	2,297	$58K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	772	747	$13K
99443		2.7%	22	22	$2K
90688		<1%	19	19	$35.68
G0008	Administration of influenza virus vaccine	0%	17	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.