Physician
DR Silva and Associates PSC
DR Silva and Associates PSC was paid $669K by Medicaid between Jan 2018 and May 2022, across 11 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 25% of everything it billed.
33Billing provider infoDR SILVA AND ASSOCIATES PSC
HENDERSON, KY 42420
HENDERSON, KY 42420
33aNPI1346396447assigned 01/25/2007
33bProvider typePsychiatry Physician
28Total paid$669K
24GClaims17,888
24DCodes billed11
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Psychiatry Physician providers in Kentucky
Rank by total paid#21 of 73
Median peer was paid$137K
This provider vs. median4.9×
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 | 5,422 | $203K | |
| 2019 | 5,000 | $187K | |
| 2020 | 4,547 | $180K | |
| 2021 | 2,551 | $90K | |
| 2022 | 368 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 25% | 7,188 | 6,292 | $165K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 24% | 2,334 | 2,170 | $161K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 22% | 3,881 | 3,578 | $146K |
| 90836 | 10% | 1,424 | 1,259 | $68K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 6.1% | 459 | 438 | $41K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.4% | 326 | 307 | $29K |
| 90838 | 3.7% | 520 | 385 | $25K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 577 | 529 | $15K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.1% | 1,004 | 954 | $14K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 102 | 99 | $4K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 73 | 60 | $622.47 |
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.
From NPPES
Who's on the registration
Authorized officialSILVA, ROGELIO (OWNER)