Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1386786051assigned 02/12/2007
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

$0$2.0K$4.0K2018201920202021202220232024
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
201971$3K
2021431$5K
2022111$5K
2023216$13K
2024incomplete137$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.