Physician
Gnyawali, Rita
Gnyawali, Rita was paid $52K by Medicaid between Feb 2018 and Apr 2019, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoGNYAWALI, RITA
MILWAUKEE, WI 53216
MILWAUKEE, WI 53216
33aNPI1568721959assigned 05/07/2012
33bProvider typePediatrics Physician
28Total paid$52K
24GClaims2,301
24DCodes billed20
24AFirst – last monthFeb 2018 – Apr 2019
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#50 of 200
Median peer was paid$4K
This provider vs. median12×
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 | 1,708 | $41K | |
| 2019 | 593 | $12K |
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 | 32% | 394 | 373 | $16K |
| 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 | 11% | 79 | 75 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 70 | 69 | $4K |
| 92587 | 8.1% | 70 | 68 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | 8.0% | 304 | 302 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 61 | 61 | $4K |
| 3008F | 4.8% | 234 | 232 | $3K | |
| 83655 | 4.0% | 121 | 121 | $2K | |
| 92551 | 3.4% | 130 | 130 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.9% | 150 | 150 | $2K |
| 99173 | 2.9% | 72 | 72 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 13 | 13 | $815.23 |
8 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 37 | $600.79 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 32 | $569.28 |
| 36416 | 1.0% | 163 | $531.03 | |
| 85018 | <1% | 139 | $476.41 | |
| 88738 | <1% | 56 | $416.24 | |
| 81002 | <1% | 111 | $415.65 | |
| 90686 | <1% | 53 | $191.33 | |
| 90670 | <1% | 12 | $43.32 |
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.