Physician
Effinger Health, PA
Effinger Health, PA was paid $137K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99307, — 34% of everything it billed.
33Billing provider infoEFFINGER HEALTH, PA
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
33aNPI1629515325assigned 01/19/2017
33bProvider typeFamily Medicine Physician
28Total paid$137K
24GClaims38,148
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#197 of 996
Median peer was paid$13K
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 | 1,127 | $2K | |
| 2019 | 5,306 | $13K | |
| 2020 | 7,417 | $22K | |
| 2021 | 6,647 | $27K | |
| 2022 | 6,500 | $18K | |
| 2023 | 8,181 | $42K | |
| 2024incomplete | 2,970 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99307 | 34% | 14,466 | 6,780 | $46K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 17% | 5,691 | 2,968 | $24K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 12% | 2,534 | 1,298 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.3% | 1,762 | 234 | $13K |
| 99487 | Ccm add 20min | 9.0% | 6,031 | 4,488 | $12K |
| 99223 | Prolong inpt eval add15 m | 7.9% | 686 | 333 | $11K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.0% | 1,729 | 162 | $7K |
| 99306 | Prolong nursin fac eval 15m | 1.8% | 223 | 171 | $3K |
| 99305 | 1.5% | 272 | 204 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 169 | 89 | $2K |
| 99310 | Prolong nursin fac eval 15m | <1% | 330 | 164 | $1K |
| 99318 | <1% | 41 | 34 | $308.89 |
8 more codes
| 99497 | <1% | 2,663 | $77.25 | |
| 99490 | Ccm add 20min | <1% | 214 | $28.69 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 34 | $26.52 |
| 99489 | Ccm add 20min | 0% | 1,006 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 165 | $0.00 |
| 99327 | 0% | 28 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 80 | $0.00 |
| 99498 | 0% | 24 | $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.
From NPPES
Who's on the registration
Authorized officialEFFINGER, WILLIAM (DIRECTOR/PHYSICIAN)