Physician
Benjamin, John
Benjamin, John was paid $124K by Medicaid between May 2019 and Sep 2020, across 2 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 72% of everything it billed.
33Billing provider infoBENJAMIN, JOHN
PALO ALTO, CA 94304
PALO ALTO, CA 94304
33aNPI1679607980assigned 03/16/2007
33bProvider typePediatrics Physician
28Total paid$124K
24GClaims341
24DCodes billed2
24AFirst – last monthMay 2019 – Sep 2020
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#451 of 1,490
Median peer was paid$15K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2019 | 202 | $63K | |
| 2020 | 139 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 72% | 264 | 45 | $89K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 28% | 77 | 13 | $35K |
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.