Duncalf, Richard

Duncalf, Richard was paid $82K by Medicaid between Mar 2018 and Apr 2022, across 10 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.

33Billing provider infoDUNCALF, RICHARD
BRONX, NY 10457

33aNPI1598705394assigned 06/08/2006

33bProvider typePulmonary Disease Physician

28Total paid$82K

24GClaims3,862

24DCodes billed10

24AFirst – last monthMar 2018 – Apr 2022

Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#79 of 413

Median peer was paid$8K

This provider vs. median10×

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	295	$2K
2019	751	$12K
2020	716	$23K
2021	1,430	$32K
2022	670	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	42%	1,525	425	$34K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	22%	353	129	$18K
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	17%	612	608	$14K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	676	268	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.2%	150	149	$3K
99238	Hospital discharge day management, 30 minutes or less	1.4%	65	64	$1K
94060		<1%	109	108	$607.02
94727		<1%	58	58	$151.18
94729		<1%	59	58	$113.68
99429		0%	255	246	$0.00

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.