Spence, Linda

Spence, Linda was paid $35K by Medicaid between Mar 2019 and May 2021, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoSPENCE, LINDA
PORT JEFFERSON STATION, NY 11776

33aNPI1720410723assigned 08/01/2013

33bProvider typeObstetrics & Gynecology Nurse Practitioner

28Total paid$35K

24GClaims1,308

24DCodes billed8

24AFirst – last monthMar 2019 – May 2021

Compared with peers

Next to other Obstetrics & Gynecology Nurse Practitioner providers in New York

Rank by total paid#3 of 6

Median peer was paid$9K

This provider vs. median3.8×

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	86	$3K
2020	491	$12K
2021	731	$20K

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%	338	287	$26K
96127		5.7%	407	348	$2K
99401		5.3%	72	68	$2K
99499		5.1%	18	12	$2K
81025		4.7%	319	289	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.8%	24	22	$1K
81005		<1%	112	88	$215.61
81003		<1%	18	12	$42.56

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.