Wenzel, Grace

Wenzel, Grace was paid $17K by Medicaid between Nov 2020 and Apr 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoWENZEL, GRACE
DU BOIS, PA 15801

33aNPI1467640524assigned 10/12/2007

33bProvider typeCardiovascular Disease Physician

28Total paid$17K

24GClaims1,133

24DCodes billed7

24AFirst – last monthNov 2020 – Apr 2022

Compared with peers

Next to other Cardiovascular Disease Physician providers in Pennsylvania

Rank by total paid#134 of 592

Median peer was paid$3K

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
2020	73	$991.45
2021	785	$12K
2022	275	$4K

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	36%	238	238	$6K
93000		22%	267	263	$4K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	19%	459	444	$3K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	16%	101	101	$3K
93016		3.2%	28	28	$545.01
93018		2.1%	28	28	$358.44
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	1.7%	12	12	$299.30

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.