Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sappington, Joshua

Sappington, Joshua was paid $2K by Medicaid between Apr 2019 and Jan 2020, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoSAPPINGTON, JOSHUA
ST. LOUIS, MO 63104
33aNPI1366767766assigned 03/29/2010
33bProvider typeOtolaryngology Physician
28Total paid$2K
24GClaims49
24DCodes billed2
24AFirst – last monthApr 2019 – Jan 2020
Compared with peers

Next to other Otolaryngology Physician providers in Missouri

Rank by total paid#42 of 53
Median peer was paid$17K
This provider vs. median0.1×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201936$2K
202013$478.11
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 54% 24 24 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46% 25 25 $941.07

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.