Physician
Patient Payment Agent
Patient Payment Agent was paid $6.55M by Medicaid between Oct 2020 and Dec 2024, across 11 billing codes. Its largest line is 87811, Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) — 86% of everything it billed.
33Billing provider infoPATIENT PAYMENT AGENT
SAN JOSE, CA 95122
SAN JOSE, CA 95122
33aNPI1487271300assigned 06/26/2020
28Total paid$6.55M
24GClaims234,691
24DCodes billed11
24AFirst – last monthOct 2020 – Dec 2024
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 | 359 | $5K | |
| 2021 | 965 | $9K | |
| 2022 | 17,139 | $267K | |
| 2023 | 67,420 | $793K | |
| 2024incomplete | 148,808 | $5.47M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 86% | 160,054 | 45,160 | $5.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 60,457 | 15,751 | $703K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 7,247 | 6,164 | $158K |
| 99451 | <1% | 1,886 | 1,157 | $29K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,359 | 594 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,115 | 472 | $4K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 329 | 280 | $3K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 835 | 389 | $2K |
| 99001 | <1% | 50 | 38 | $81.00 | |
| 87070 | <1% | 22 | 15 | $36.31 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 337 | 100 | $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.
From NPPES
Who's on the registration
Authorized officialMCGINNIS, MICHAEL (LAB DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Cytodiagnostics | Hollister, CA | $144K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.