Physician
Appel, Arthur
Appel, Arthur was paid $6K by Medicaid between Oct 2019 and Jan 2023, across 3 billing codes. Its largest line is 99349, — 88% of everything it billed.
33Billing provider infoAPPEL, ARTHUR
PEARL RIVER, NY 10965
PEARL RIVER, NY 10965
33aNPI1558355107assigned 09/08/2005
33bProvider typeNephrology Physician
28Total paid$6K
24GClaims602
24DCodes billed3
24AFirst – last monthOct 2019 – Jan 2023
Compared with peers
Next to other Nephrology Physician providers in New York
Rank by total paid#378 of 559
Median peer was paid$18K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 46 | $0.00 | |
| 2020 | 187 | $1K | |
| 2021 | 151 | $2K | |
| 2022 | 192 | $2K | |
| 2023 | 26 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99349 | 88% | 469 | 451 | $5K | |
| 99348 | 11% | 54 | 54 | $697.86 | |
| 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 | <1% | 79 | 73 | $56.18 |
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.