Benus, John

Benus, John was paid $53K by Medicaid between Jan 2018 and Oct 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoBENUS, JOHN
PASCAGOULA, MS 39581

33aNPI1720195860assigned 08/24/2006

33bProvider typePodiatrist

28Total paid$53K

24GClaims2,112

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Podiatrist providers in Mississippi

Rank by total paid#12 of 27

Median peer was paid$41K

This provider vs. median1.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (03/20/2023).

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	862	$18K
2019	776	$20K
2020	474	$15K

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	75%	1,554	1,401	$39K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	16%	194	189	$8K
20600		5.1%	194	117	$3K
73620		4.2%	170	114	$2K

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.