Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1376600973assigned 01/02/2007
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,118$44K
20191,097$44K
2020846$36K
2021711$29K
2022256$10K
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 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.