Physician
Anatol, Algernon
Anatol, Algernon was paid $14K by Medicaid between Jan 2018 and Apr 2019, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoANATOL, ALGERNON
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
33aNPI1376557082assigned 07/28/2006
33bProvider typeHospitalist Physician
28Total paid$14K
24GClaims174
24DCodes billed3
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Hospitalist Physician providers in Massachusetts
Rank by total paid#17 of 48
Median peer was paid$6K
This provider vs. median2.3×
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 | 161 | $13K | |
| 2019 | 13 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 76% | 129 | 109 | $11K |
| 99223 | Prolong inpt eval add15 m | 13% | 12 | 12 | $2K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 11% | 33 | 29 | $2K |
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.