Physician
Proenza, Manuel
Proenza, Manuel was paid $71.58 by Medicaid between Jan 2018 and Dec 2018, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoPROENZA, MANUEL
GREAT FALLS, MT 59405
GREAT FALLS, MT 59405
33aNPI1336401256assigned 06/15/2012
33bProvider typePediatrics Physician
28Total paid$71.58
24GClaims1,246
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Pediatrics Physician providers in Montana
Rank by total paid#15 of 16
Median peer was paid$371K
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 | |
|---|---|---|---|
| 2018 | 1,246 | $71.58 |
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% | 218 | 203 | $71.58 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 47 | 47 | $0.00 |
| 99401 | 0% | 79 | 78 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 190 | 163 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 96 | 95 | $0.00 |
| 99173 | 0% | 293 | 292 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 89 | 89 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 38 | 38 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 16 | 13 | $0.00 |
| 92583 | 0% | 52 | 52 | $0.00 | |
| 90686 | 0% | 56 | 55 | $0.00 | |
| 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 | 0% | 53 | 47 | $0.00 |
1 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 19 | $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.