Mitoraj, Thomas

Mitoraj, Thomas was paid $112K by Medicaid between Jan 2018 and Feb 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoMITORAJ, THOMAS
BRISTOL, TN 37620

33aNPI1255381752assigned 05/12/2006

33bProvider typePediatrics Physician

28Total paid$112K

24GClaims4,732

24DCodes billed28

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#176 of 333

Median peer was paid$139K

This provider vs. median0.8×

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	3,415	$90K
2019	344	$5K
2020	439	$9K
2021	270	$4K
2022	152	$2K
2023	82	$1K
2024incomplete	30	$455.00

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	39%	803	688	$44K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	178	172	$14K
D1206	Topical application of fluoride varnish	11%	685	673	$13K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	10%	153	145	$11K
D0190		6.7%	683	672	$8K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.6%	96	95	$7K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.4%	438	425	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	52	43	$2K
92551		1.5%	177	173	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.2%	86	49	$1K
90670		<1%	88	88	$1K
87210		<1%	204	180	$1K

16 more codes

90648		<1%	88	$1K
90686		<1%	46	$557.83
99174		<1%	86	$506.38
90723		<1%	42	$492.04
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	45	$489.76
89190		<1%	63	$327.75
99173		<1%	106	$261.47
3008F		<1%	285	$208.00
96127		<1%	40	$202.99
83655		<1%	12	$176.04
3074F		<1%	114	$163.80
3078F		<1%	114	$160.60
90633		<1%	12	$160.13
90680		<1%	12	$138.05
90707		<1%	12	$136.40
90716		<1%	12	$136.40

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.