Spencer, William

Spencer, William was paid $8K by Medicaid between Feb 2019 and Oct 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoSPENCER, WILLIAM
HUNTINGTON, NY 11743

33aNPI1326139379assigned 09/27/2006

33bProvider typePediatric Otolaryngology Physician

28Total paid$8K

24GClaims191

24DCodes billed4

24AFirst – last monthFeb 2019 – Oct 2020

Compared with peers

Next to other Pediatric Otolaryngology Physician providers in New York

Rank by total paid#13 of 21

Median peer was paid$18K

This provider vs. median0.5×

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	16	$783.40
2020	175	$8K

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	58%	115	113	$5K
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	24%	41	40	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	16%	20	20	$1K
92567		2.1%	15	15	$177.00

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.