Pelton, William

Pelton, William was paid $23K by Medicaid between Jan 2018 and Mar 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoPELTON, WILLIAM
PLATTSBURGH, NY 12901

33aNPI1184696841assigned 02/06/2006

33bProvider typeInternal Medicine Physician

28Total paid$23K

24GClaims559

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#2,335 of 6,049

Median peer was paid$11K

This provider vs. median2.1×

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	86	$4K
2019	112	$4K
2020	64	$3K
2021	114	$5K
2022	115	$4K
2023	68	$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	64%	381	343	$15K
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	32%	147	141	$7K
99442		4.3%	31	26	$998.01

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.