Sinclair, Mark

Sinclair, Mark was paid $1K by Medicaid between Feb 2018 and Aug 2019, across 2 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 59% of everything it billed.

33Billing provider infoSINCLAIR, MARK
KANSAS CITY, MO 64108

33aNPI1689624140assigned 05/12/2006

33bProvider typePediatric Surgery Physician

28Total paid$1K

24GClaims37

24DCodes billed2

24AFirst – last monthFeb 2018 – Aug 2019

Compared with peers

Next to other Pediatric Surgery Physician providers in Missouri

Rank by total paid#8 of 10

Median peer was paid$2K

This provider vs. median0.5×

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	12	$336.94
2019	25	$857.23

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	59%	25	25	$707.50
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%	12	12	$486.67

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.