Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Youngstown › NPI 1568441780
Physician

Mendez, Consuelo

Mendez, Consuelo was paid $142K by Medicaid between Jan 2018 and Feb 2022, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.

33Billing provider infoMENDEZ, CONSUELO
YOUNGSTOWN, OH 44511
33aNPI1568441780assigned 01/16/2006
28Total paid$142K
24GClaims4,083
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers

Next to other Internal Medicine Physician providers in Ohio

Rank by total paid#162 of 663
Median peer was paid$17K
This provider vs. median8.1×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,151$42K
2019894$28K
2020878$31K
2021988$36K
2022172$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 74% 3,118 2,765 $105K
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 22% 637 571 $31K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2.6% 56 55 $4K
99442 <1% 56 54 $1K
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 <1% 16 14 $979.53
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 35 27 $286.98
82962 <1% 71 70 $165.22
36415 Collection of venous blood by venipuncture <1% 62 59 $125.26
81002 <1% 32 30 $72.24

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.