NP / PA
Pinzel, Mark
Pinzel, Mark was paid $34K by Medicaid between Sep 2019 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoPINZEL, MARK
N TONAWANDA, NY 14120
N TONAWANDA, NY 14120
33aNPI1386786051assigned 02/12/2007
33bProvider typeMedical Physician Assistant
28Total paid$34K
24GClaims966
24DCodes billed7
24AFirst – last monthSep 2019 – Oct 2024
Compared with peers
Next to other Medical Physician Assistant providers in New York
Rank by total paid#17 of 116
Median peer was paid$2K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2019 | 71 | $3K | |
| 2021 | 431 | $5K | |
| 2022 | 111 | $5K | |
| 2023 | 216 | $13K | |
| 2024incomplete | 137 | $8K |
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 | 76% | 419 | 405 | $26K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 185 | 183 | $7K |
| 0011A | 2.0% | 20 | 20 | $692.92 | |
| 0012A | 1.9% | 16 | 16 | $640.00 | |
| 99177 | <1% | 13 | 13 | $33.02 | |
| 91301 | 0% | 31 | 30 | $0.00 | |
| 99072 | 0% | 282 | 269 | $0.00 |
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.