Physician
Fernando, Joseph
Fernando, Joseph was paid $115K by Medicaid between Mar 2018 and Jul 2020, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoFERNANDO, JOSEPH
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
33aNPI1669559605assigned 11/01/2006
33bProvider typePediatrics Physician
28Total paid$115K
24GClaims2,272
24DCodes billed8
24AFirst – last monthMar 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#301 of 992
Median peer was paid$40K
This provider vs. median2.8×
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 | 642 | $34K | |
| 2019 | 551 | $27K | |
| 2020 | 1,079 | $54K |
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 | 48% | 1,206 | 1,082 | $56K |
| 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 | 16% | 284 | 273 | $19K |
| 99238 | Hospital discharge day management, 30 minutes or less | 14% | 384 | 374 | $16K |
| 99460 | 13% | 237 | 234 | $15K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 90 | 89 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | 14 | $975.72 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 19 | 12 | $667.36 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | 37 | $602.49 |
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.