Plawner, Janusz

Plawner, Janusz was paid $18K by Medicaid between Feb 2018 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoPLAWNER, JANUSZ
NEW YORK, NY 10021

33aNPI1750301248assigned 07/20/2006

33bProvider typeUrology Physician

28Total paid$18K

24GClaims537

24DCodes billed6

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#166 of 461

Median peer was paid$6K

This provider vs. median3.1×

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	43	$2K
2019	291	$7K
2020	138	$6K
2021	26	$1K
2024incomplete	39	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	55%	220	220	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	164	152	$4K
76872		11%	55	54	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	8.3%	45	45	$1K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	2.9%	28	25	$519.61
76770		2.0%	25	25	$364.86

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.