Sergio, Donna

Sergio, Donna was paid $9K by Medicaid between Aug 2018 and Apr 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.

33Billing provider infoSERGIO, DONNA
UTICA, NY 13502

33aNPI1598967184assigned 06/05/2007

33bProvider typePsychiatry Physician

28Total paid$9K

24GClaims327

24DCodes billed3

24AFirst – last monthAug 2018 – Apr 2023

Compared with peers

Next to other Psychiatry Physician providers in New York

Rank by total paid#476 of 1,033

Median peer was paid$8K

This provider vs. median1.2×

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	19	$0.00
2019	29	$161.95
2021	209	$9K
2022	42	$339.39
2023	28	$329.88

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	98%	249	231	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.7%	48	45	$161.95
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	30	29	$7.50

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.