Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Zeme, Mark

Zeme, Mark was paid $252K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 31231, — 25% of everything it billed.

33Billing provider infoZEME, MARK
CASTRO VALLEY, CA 94546
33aNPI1669400388assigned 06/29/2006
33bProvider typeOtolaryngology Physician
28Total paid$252K
24GClaims13,897
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Otolaryngology Physician providers in California

Rank by total paid#56 of 168
Median peer was paid$67K
This provider vs. median3.7×

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$10K2018201920202021202220232024
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
20182,133$51K
20192,307$50K
2020864$18K
20211,644$26K
20222,036$23K
20232,382$45K
2024incomplete2,531$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31231 25% 611 596 $63K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 20% 1,836 1,831 $49K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15% 1,544 1,541 $39K
92504 8.1% 2,527 2,398 $20K
92553 7.2% 961 951 $18K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.8% 742 705 $17K
31575 6.0% 1,994 1,965 $15K
92570 5.9% 2,269 2,243 $15K
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 4.9% 717 692 $12K
92557 <1% 632 622 $1K
31237 <1% 24 12 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 12 12 $213.28
1 more codes
92567 <1% 28 $3.88

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.