Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › San Luis Obispo › NPI 1649253162
Physician

Fogel, Lawrence

Fogel, Lawrence was paid $80K by Medicaid between Jan 2018 and Feb 2020, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoFOGEL, LAWRENCE
SAN LUIS OBISPO, CA 93401
33aNPI1649253162assigned 11/29/2005
33bProvider typeNeurology Physician
28Total paid$80K
24GClaims753
24DCodes billed5
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers

Next to other Neurology Physician providers in California

Rank by total paid#136 of 296
Median peer was paid$50K
This provider vs. median1.6×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018384$38K
2019310$34K
202059$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 61% 597 594 $49K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 15% 55 55 $12K
J0585 Injection, onabotulinumtoxina, 1 unit 14% 24 24 $11K
64615 7.3% 65 64 $6K
99244 Office or other outpatient consultation, moderate to high complexity 2.8% 12 12 $2K

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.