Physician
Wisman, Paul
Wisman, Paul was paid $58K by Medicaid between Jan 2018 and Oct 2018, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoWISMAN, PAUL
CHARLOTTESVILLE, VA 22902
CHARLOTTESVILLE, VA 22902
33aNPI1235115650assigned 12/17/2005
33bProvider typePediatrics Physician
28Total paid$58K
24GClaims1,621
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#304 of 817
Median peer was paid$29K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2018 | 1,621 | $58K |
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 | 42% | 294 | 280 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 359 | 349 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 41 | 41 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 41 | 41 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 29 | 29 | $3K |
| 90686 | 2.3% | 115 | 114 | $1K | |
| 92551 | 2.0% | 117 | 117 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 14 | 13 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 70 | 69 | $941.20 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | 12 | $340.92 |
| 99173 | <1% | 129 | 129 | $292.21 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 153 | 151 | $196.94 |
4 more codes
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.