Pagulayan, Sylvia
Pagulayan, Sylvia was paid $19K by Medicaid between Apr 2018 and Jul 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoPAGULAYAN, SYLVIA
JERSEY CITY, NJ 07304
JERSEY CITY, NJ 07304
33aNPI1568402733assigned 06/07/2006
33bProvider typeLegal Medicine
28Total paid$19K
24GClaims583
24DCodes billed2
24AFirst – last monthApr 2018 – Jul 2022
Compared with peers
Next to other Legal Medicine providers in New Jersey
Rank by total paid#13 of 15
Median peer was paid$168K
This provider vs. median0.1×
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 | 103 | $4K | |
| 2019 | 175 | $6K | |
| 2020 | 79 | $3K | |
| 2021 | 99 | $2K | |
| 2022 | 127 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 100% | 523 | 453 | $19K |
| 36415 | Collection of venous blood by venipuncture | <1% | 60 | 60 | $67.24 |
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.