Bantle, Roxana

Bantle, Roxana was paid $13K by Medicaid between Jan 2018 and Aug 2018, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.

33Billing provider infoBANTLE, ROXANA
MIDLOTHIAN, VA 23114

33aNPI1417906801assigned 05/10/2006

33bProvider typePediatrics Physician

28Total paid$13K

24GClaims261

24DCodes billed5

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#549 of 817

Median peer was paid$29K

This provider vs. median0.4×

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	261	$13K

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	90%	137	129	$11K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.1%	12	12	$892.68
90460	Immunization administration through 18 years of age via any route, first or only component	1.2%	75	70	$155.19
99174		<1%	13	12	$78.10
90461		<1%	24	24	$69.30

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.