Physician
Benejam, Roberto
Benejam, Roberto was paid $1.13M by Medicaid between Jan 2018 and May 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoBENEJAM, ROBERTO
DEARBORN, MI 48126
DEARBORN, MI 48126
33aNPI1295893899assigned 12/05/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.13M
24GClaims28,560
24DCodes billed30
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Michigan
Rank by total paid#17 of 46
Median peer was paid$567K
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 | 5,727 | $158K | |
| 2019 | 5,904 | $207K | |
| 2020 | 4,344 | $145K | |
| 2021 | 4,384 | $178K | |
| 2022 | 4,233 | $204K | |
| 2023 | 3,089 | $179K | |
| 2024incomplete | 879 | $56K |
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 | 40% | 7,584 | 6,655 | $445K |
| 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 | 18% | 2,107 | 2,014 | $204K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 1,656 | 1,651 | $139K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,792 | 1,787 | $131K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 908 | 902 | $64K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 994 | 969 | $43K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 1,598 | 1,530 | $26K |
| 92551 | 1.5% | 2,580 | 2,563 | $17K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 262 | 253 | $15K |
| 92081 | 1.1% | 646 | 645 | $12K | |
| 81002 | 1.0% | 4,570 | 4,503 | $12K | |
| 99442 | <1% | 452 | 436 | $7K |
18 more codes
| 85018 | <1% | 1,719 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 59 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 551 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 76 | $944.04 |
| 86580 | <1% | 182 | $846.72 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 101 | $229.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16 | $154.00 |
| 90657 | <1% | 26 | $12.04 | |
| 90656 | 0% | 270 | $0.00 | |
| 90651 | 0% | 172 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 90715 | 0% | 54 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 90734 | 0% | 79 | $0.00 | |
| 90633 | 0% | 40 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90670 | 0% | 13 | $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.