Spohn, Mary Ellen

Spohn, Mary Ellen was paid $26K by Medicaid between Jun 2020 and Oct 2020, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoSPOHN, MARY ELLEN
WEST NYACK, NY 10994

33aNPI1497175996assigned 04/23/2014

33bProvider typeMedical Physician Assistant

28Total paid$26K

24GClaims935

24DCodes billed10

24AFirst – last monthJun 2020 – Oct 2020

Compared with peers

Next to other Medical Physician Assistant providers in New York

Rank by total paid#20 of 116

Median peer was paid$2K

This provider vs. median10×

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	935	$26K

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	32%	298	288	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27%	140	140	$7K
20610		27%	269	200	$7K
73560		4.1%	69	45	$1K
73030		2.8%	53	45	$722.13
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.4%	22	22	$611.10
72100		2.2%	27	27	$570.14
72040		<1%	16	16	$241.44
73562		<1%	16	14	$224.48
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	25	25	$37.21

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.