Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Phillips, Cara

Phillips, Cara was paid $231K by Medicaid between Feb 2018 and Apr 2023, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoPHILLIPS, CARA
MIDDLETOWN, NY 10941
33aNPI1538141494assigned 11/16/2005
33bProvider typePhysician Assistant
28Total paid$231K
24GClaims2,095
24DCodes billed9
24AFirst – last monthFeb 2018 – Apr 2023
Compared with peers

Next to other Physician Assistant providers in New York

Rank by total paid#19 of 263
Median peer was paid$3K
This provider vs. median71×

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$10K$20K2018201920202021202220232024
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
201847$5K
2019111$11K
2020332$36K
2021510$61K
2022940$103K
2023155$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 816 801 $78K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 27% 464 462 $63K
S9083 Global fee urgent care centers 23% 350 349 $52K
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 6.9% 136 136 $16K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 6.7% 173 173 $15K
87631 1.2% 20 20 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 57 57 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 62 62 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 17 17 $562.70

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.