Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Paul, Henry

Paul, Henry was paid $193K by Medicaid between Jul 2018 and Apr 2024, across 12 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 37% of everything it billed.

33Billing provider infoPAUL, HENRY
BROOKLYN, NY 11234
33aNPI1477507341assigned 05/22/2006
33bProvider typeNephrology Physician
28Total paid$193K
24GClaims5,978
24DCodes billed12
24AFirst – last monthJul 2018 – Apr 2024
Compared with peers

Next to other Nephrology Physician providers in New York

Rank by total paid#57 of 559
Median peer was paid$18K
This provider vs. median11×

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$5.0K$10K2018201920202021202220232024
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
201889$4K
2019363$15K
2020502$19K
2021641$24K
20222,558$83K
20231,711$42K
2024incomplete114$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 37% 1,627 1,618 $72K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 16% 1,159 982 $32K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16% 1,145 966 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10% 906 755 $20K
90961 8.6% 375 369 $17K
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 6.8% 368 348 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.7% 98 98 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.2% 90 83 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 36 34 $2K
90962 <1% 17 17 $828.36
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 21 12 $470.04
36415 Collection of venous blood by venipuncture <1% 136 131 $26.68

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.