Wharton, Seth
Wharton, Seth was paid $43.81 by Medicaid between Oct 2019 and Oct 2019, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoWHARTON, SETH
SARATOGA SPRINGS, NY 12866
SARATOGA SPRINGS, NY 12866
33aNPI1306929658assigned 10/23/2006
33bProvider typeSpecialist
28Total paid$43.81
24GClaims13
24DCodes billed1
24AFirst – last monthOct 2019 – Oct 2019
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#1,197 of 1,221
Median peer was paid$45K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 13 | $43.81 |
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 | 100% | 13 | 13 | $43.81 |
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.