Physician
Mendiola PC
Mendiola PC was paid $72K by Medicaid between Jan 2018 and Oct 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoMENDIOLA PC
FORT PAYNE, AL 35967
FORT PAYNE, AL 35967
33aNPI1265681167assigned 09/16/2008
33bProvider typeInternal Medicine Physician
28Total paid$72K
24GClaims7,069
24DCodes billed27
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Alabama
Rank by total paid#84 of 225
Median peer was paid$17K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2018 | 3,198 | $10K | |
| 2019 | 1,447 | $14K | |
| 2020 | 1,106 | $18K | |
| 2021 | 497 | $9K | |
| 2022 | 360 | $8K | |
| 2023 | 272 | $8K | |
| 2024incomplete | 189 | $4K |
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 | 72% | 1,977 | 1,834 | $52K |
| 90961 | 12% | 174 | 167 | $9K | |
| 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 | 7.9% | 165 | 143 | $6K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.5% | 1,033 | 863 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 19 | 13 | $1K |
| 90686 | <1% | 50 | 50 | $281.07 | |
| 90756 | <1% | 61 | 48 | $227.90 | |
| 90656 | <1% | 14 | 14 | $89.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19 | 13 | $55.00 |
| 1036F | 0% | 431 | 392 | $0.00 | |
| 1170F | 0% | 12 | 12 | $0.00 | |
| 3074F | 0% | 133 | 120 | $0.00 |
15 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 138 | $0.00 |
| 3075F | 0% | 28 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 65 | $0.00 |
| 3079F | 0% | 26 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $0.00 |
| 99080 | 0% | 307 | $0.00 | |
| 3078F | 0% | 208 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 107 | $0.00 |
| 4040F | 0% | 269 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 109 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 462 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 480 | $0.00 |
| 4004F | 0% | 127 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 615 | $0.00 |
| 99072 | 0% | 26 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialMENDIOLA, CARMELO (OWNER)