Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$1.0K$2.0K2018201920202021202220232024
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
201946$0.00
2020187$1K
2021151$2K
2022192$2K
202326$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.