Ploesser, Markus

Ploesser, Markus was paid $390K by Medicaid between Nov 2022 and Aug 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoPLOESSER, MARKUS
CHULA VISTA, CA 91910

33aNPI1669662755assigned 07/26/2007

33bProvider typePsychiatry Physician

28Total paid$390K

24GClaims5,870

24DCodes billed6

24AFirst – last monthNov 2022 – Aug 2023

Compared with peers

Next to other Psychiatry Physician providers in California

Rank by total paid#100 of 483

Median peer was paid$24K

This provider vs. median16×

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
2022	797	$59K
2023	5,073	$331K

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	41%	2,716	2,497	$160K
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	28%	1,827	1,609	$110K
99205	Prolong outpt/office vis	25%	674	670	$97K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	5.6%	495	491	$22K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	15	13	$1K
96132		0%	143	139	$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.