Physician
Pincus, Elisa
Pincus, Elisa was paid $189K by Medicaid between Jan 2018 and May 2020, across 14 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 23% of everything it billed.
33Billing provider infoPINCUS, ELISA
ST. LOUIS, MO 63104
ST. LOUIS, MO 63104
33aNPI1548569734assigned 03/28/2011
33bProvider typePediatrics Physician
28Total paid$189K
24GClaims2,356
24DCodes billed14
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#196 of 992
Median peer was paid$40K
This provider vs. median4.7×
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 | 1,185 | $100K | |
| 2019 | 924 | $73K | |
| 2020 | 247 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 23% | 517 | 489 | $43K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 410 | 394 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 544 | 526 | $32K |
| 99238 | Hospital discharge day management, 30 minutes or less | 15% | 502 | 490 | $29K |
| 99477 | 13% | 73 | 73 | $24K | |
| 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 | 4.5% | 94 | 91 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 73 | 73 | $7K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.7% | 28 | 28 | $3K |
| 99460 | 1.1% | 26 | 26 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 20 | 14 | $1K |
| 90686 | <1% | 31 | 30 | $280.01 |
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.