Fadel, John

Fadel, John was paid $452K by Medicaid between Sep 2020 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoFADEL, JOHN
BRONX, NY 10453

33aNPI1700272499assigned 04/09/2015

33bProvider typeGynecology Physician

28Total paid$452K

24GClaims15,056

24DCodes billed28

24AFirst – last monthSep 2020 – Nov 2024

Compared with peers

Next to other Gynecology Physician providers in New York

Rank by total paid#11 of 93

Median peer was paid$10K

This provider vs. median43×

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
2020	136	$2K
2021	1,919	$56K
2022	3,990	$120K
2023	5,217	$159K
2024incomplete	3,794	$114K

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	33%	2,945	2,536	$151K
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	21%	1,234	1,143	$96K
76830	Ultrasound, transvaginal	13%	709	673	$58K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	6.9%	571	534	$31K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	5.5%	1,332	1,321	$25K
81025		3.4%	3,953	3,246	$15K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	3.3%	191	187	$15K
99385		2.3%	119	119	$10K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.0%	114	114	$9K
58558		2.0%	13	13	$9K
99442		1.5%	125	116	$7K
99441		1.4%	180	172	$6K

16 more codes

99386		<1%	41	$4K
93975		<1%	25	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	89	$3K
99422		<1%	92	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	12	$2K
76377		<1%	159	$1K
57454		<1%	13	$1K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	1,331	$679.92
99421		<1%	65	$624.90
99459		<1%	50	$420.95
99072		<1%	39	$267.92
96127		<1%	37	$139.74
36415	Collection of venous blood by venipuncture	<1%	1,364	$40.71
36410		<1%	156	$3.54
98960		0%	65	$0.00
1003F		0%	32	$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.