Denicola, Nathaniel

Denicola, Nathaniel was paid $8K by Medicaid between May 2021 and Oct 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoDENICOLA, NATHANIEL
NEWPORT BEACH, CA 92663

33aNPI1225205651assigned 05/14/2008

33bProvider typeGynecology Physician

28Total paid$8K

24GClaims158

24DCodes billed3

24AFirst – last monthMay 2021 – Oct 2022

Compared with peers

Next to other Gynecology Physician providers in California

Rank by total paid#33 of 47

Median peer was paid$37K

This provider vs. median0.2×

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
2021	60	$3K
2022	98	$5K

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	75%	125	117	$6K
H1001	Prenatal care, at-risk enhanced service; antepartum management	20%	21	15	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.9%	12	12	$406.30

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.