Hinton, Paul

Hinton, Paul was paid $166K by Medicaid between Jan 2018 and Apr 2022, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoHINTON, PAUL
LAKE ST LOUIS, MO 63367

33aNPI1639130263assigned 03/31/2006

33bProvider typePediatrics Physician

28Total paid$166K

24GClaims2,958

24DCodes billed5

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#227 of 992

Median peer was paid$40K

This provider vs. median4.1×

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	1,343	$78K
2019	1,221	$67K
2020	338	$21K
2022	56	$1K

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	64%	2,076	1,898	$106K
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	32%	697	665	$54K
99222	Initial hospital care, per day, moderate complexity	2.0%	31	31	$3K
90686		1.2%	140	139	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	14	14	$1K

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.