Physician
Musete, Monica
Musete, Monica was paid $26K by Medicaid between Feb 2018 and Jul 2020, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoMUSETE, MONICA
MILWAUKEE, WI 53215
MILWAUKEE, WI 53215
33aNPI1275897019assigned 06/26/2012
33bProvider typePediatrics Physician
28Total paid$26K
24GClaims1,513
24DCodes billed15
24AFirst – last monthFeb 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#62 of 200
Median peer was paid$4K
This provider vs. median5.9×
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 | 1,483 | $25K | |
| 2020 | 30 | $543.59 |
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 | 36% | 245 | 221 | $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 | 11% | 42 | 41 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 48 | 48 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 9.4% | 190 | 189 | $2K |
| 83655 | 8.5% | 134 | 133 | $2K | |
| 92551 | 6.6% | 134 | 134 | $2K | |
| 3008F | 5.8% | 153 | 152 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 46 | 44 | $734.82 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 36 | 17 | $588.44 |
| 85018 | 1.8% | 147 | 146 | $471.58 | |
| 36416 | 1.8% | 151 | 150 | $451.47 | |
| 81002 | 1.7% | 134 | 126 | $444.95 |
3 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.