Physician
Prophete, Robert
Prophete, Robert was paid $97K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoPROPHETE, ROBERT
SAINT LOUIS, MO 63119
SAINT LOUIS, MO 63119
33aNPI1376547802assigned 06/13/2005
33bProvider typeUrology Physician
28Total paid$97K
24GClaims3,224
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urology Physician providers in Missouri
Rank by total paid#4 of 26
Median peer was paid$3K
This provider vs. median34×
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 | 649 | $18K | |
| 2019 | 322 | $7K | |
| 2020 | 374 | $9K | |
| 2021 | 653 | $16K | |
| 2022 | 519 | $17K | |
| 2023 | 378 | $16K | |
| 2024incomplete | 329 | $15K |
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 | 42% | 918 | 851 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 38% | 1,689 | 1,485 | $37K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.2% | 107 | 106 | $7K |
| 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 | 5.5% | 81 | 80 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 43 | 40 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.3% | 74 | 74 | $2K |
| 99201 | 1.7% | 63 | 63 | $2K | |
| 81003 | <1% | 221 | 186 | $479.12 | |
| 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% | 28 | 26 | $325.56 |
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.