Physician
Docena, Samuel
Docena, Samuel was paid $162K by Medicaid between Jan 2018 and Jun 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.
33Billing provider infoDOCENA, SAMUEL
FAIRFIELD, OH 45014
FAIRFIELD, OH 45014
33aNPI1376600973assigned 01/02/2007
33bProvider typeFamily Medicine Physician
28Total paid$162K
24GClaims4,028
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#185 of 739
Median peer was paid$30K
This provider vs. median5.5×
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 | 1,118 | $44K | |
| 2019 | 1,097 | $44K | |
| 2020 | 846 | $36K | |
| 2021 | 711 | $29K | |
| 2022 | 256 | $10K |
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 | 96% | 2,555 | 2,324 | $156K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 1,409 | 1,358 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 32 | 29 | $2K |
| 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 | <1% | 15 | 13 | $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 | <1% | 17 | 15 | $767.10 |
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.