Hoffman, Paul

Hoffman, Paul was paid $88K by Medicaid between Jan 2018 and Dec 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.

33Billing provider infoHOFFMAN, PAUL
ASHLAND, OR 97520

33aNPI1770562977assigned 01/16/2006

33bProvider typeSurgery Physician

28Total paid$88K

24GClaims3,561

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other Surgery Physician providers in Oregon

Rank by total paid#5 of 19

Median peer was paid$5K

This provider vs. median19×

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 (11/20/2024).

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	492	$14K
2019	724	$20K
2020	475	$13K
2021	1,086	$26K
2022	784	$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	63%	2,320	854	$55K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	37%	1,241	486	$33K

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.