Physician
Roberts, Justin
Roberts, Justin was paid $92K by Medicaid between Jan 2018 and May 2020, across 11 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 34% of everything it billed.
33Billing provider infoROBERTS, JUSTIN
FARMINGTON, MO 63640
FARMINGTON, MO 63640
33aNPI1619057064assigned 10/17/2006
33bProvider typeFacial Plastic Surgery Physician
28Total paid$92K
24GClaims1,705
24DCodes billed11
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Facial Plastic Surgery Physician providers in Missouri
Rank by total paid#3 of 5
Median peer was paid$92K
This provider vs. median1.0×
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 | 818 | $47K | |
| 2019 | 642 | $32K | |
| 2020 | 245 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 34% | 456 | 446 | $31K |
| 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 | 34% | 509 | 481 | $31K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 15% | 68 | 68 | $14K |
| 92567 | 6.1% | 462 | 447 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 123 | 121 | $5K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 3.5% | 12 | 12 | $3K |
| 99243 | 1.2% | 12 | 12 | $1K | |
| 92557 | <1% | 16 | 16 | $495.48 | |
| 92587 | <1% | 14 | 14 | $394.34 | |
| 92553 | <1% | 13 | 13 | $219.24 | |
| 92555 | <1% | 20 | 20 | $195.57 |
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.