Familtsev, Dmitry

Familtsev, Dmitry was paid $80.16 by Medicaid between Oct 2019 and Oct 2019, across 1 billing code. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 100% of everything it billed.

33Billing provider infoFAMILTSEV, DMITRY
ROLLA, MO 65401

33aNPI1194161174assigned 05/16/2013

33bProvider typeCardiovascular Disease Physician

28Total paid$80.16

24GClaims12

24DCodes billed1

24AFirst – last monthOct 2019 – Oct 2019

Compared with peers

Next to other Cardiovascular Disease Physician providers in Missouri

Rank by total paid#148 of 150

Median peer was paid$4K

This provider vs. median0.0×

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	12	$80.16

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	100%	12	12	$80.16

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.