Pica, Suzanne

Pica, Suzanne was paid $8K by Medicaid between Jan 2018 and Jan 2023, across 6 billing codes. Its largest line is 99238, Hospital discharge day management, 30 minutes or less — 57% of everything it billed.

33Billing provider infoPICA, SUZANNE
WINCHESTER, KY 40391

33aNPI1538233184assigned 11/17/2006

33bProvider typePediatrics Physician

28Total paid$8K

24GClaims363

24DCodes billed6

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other Pediatrics Physician providers in Kentucky

Rank by total paid#107 of 156

Median peer was paid$41K

This provider vs. median0.2×

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
2018	97	$3K
2019	53	$2K
2020	31	$1K
2021	36	$636.99
2022	96	$0.00
2023	50	$666.27

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99238	Hospital discharge day management, 30 minutes or less	57%	113	100	$5K
99460		26%	56	53	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	31	26	$1K
99462		3.5%	15	14	$277.86
1159F		0%	65	40	$0.00
1160F		0%	83	55	$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.