Physician
Metz, Rachelle
Metz, Rachelle was paid $13K by Medicaid between May 2023 and Sep 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 48% of everything it billed.
33Billing provider infoMETZ, RACHELLE
LORAIN, OH 44053
LORAIN, OH 44053
33aNPI1538540844assigned 06/11/2015
33bProvider typeOrthopaedic Surgery Physician
28Total paid$13K
24GClaims1,079
24DCodes billed9
24AFirst – last monthMay 2023 – Sep 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Ohio
Rank by total paid#32 of 60
Median peer was paid$13K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2023 | 693 | $8K | |
| 2024incomplete | 386 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 48% | 104 | 96 | $6K |
| 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 | 31% | 73 | 71 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 21% | 30 | 30 | $3K |
| 1036F | 0% | 124 | 111 | $0.00 | |
| 3017F | 0% | 29 | 27 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 189 | 174 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 370 | 340 | $0.00 |
| 4004F | 0% | 20 | 16 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 140 | 127 | $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.