Physician
OIG excluded
Lipetz, Mark
Lipetz, Mark was paid $7K by Medicaid between Jan 2018 and Jun 2018, across 1 billing code. Its largest line is 99215, doctor's office visit, returning patient (complex) — 100% of everything it billed.
33Billing provider infoLIPETZ, MARK
KIHEI, HI 96753
KIHEI, HI 96753
33aNPI1306919956assigned 11/15/2006
33bProvider typeInternal Medicine Physician
28Total paid$7K
24GClaims124
24DCodes billed1
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Internal Medicine Physician providers in Hawaii
Rank by total paid#82 of 123
Median peer was paid$27K
This provider vs. median0.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (07/20/2020).
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 | 124 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 100% | 124 | 76 | $7K |
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.