Physician
Abougou, Marie
Abougou, Marie was paid $90K by Medicaid between Jan 2019 and Feb 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoABOUGOU, MARIE
ROCK HILL, NY 12775
ROCK HILL, NY 12775
33aNPI1770739559assigned 08/13/2008
33bProvider typeObstetrics & Gynecology Physician
28Total paid$90K
24GClaims1,504
24DCodes billed15
24AFirst – last monthJan 2019 – Feb 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New York
Rank by total paid#268 of 762
Median peer was paid$22K
This provider vs. median4.2×
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 | 180 | $12K | |
| 2020 | 383 | $23K | |
| 2021 | 591 | $37K | |
| 2022 | 322 | $18K | |
| 2023 | 28 | $161.31 |
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 | 56% | 522 | 502 | $50K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 14% | 81 | 81 | $13K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 9.0% | 232 | 232 | $8K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 9.0% | 232 | 232 | $8K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 5.5% | 106 | 105 | $5K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 2.0% | 26 | 26 | $2K |
| 87481 | 1.0% | 26 | 26 | $912.34 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 1.0% | 26 | 26 | $912.34 |
| 81025 | <1% | 99 | 99 | $789.65 | |
| 86780 | <1% | 30 | 30 | $397.20 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 12 | 12 | $288.96 |
| 96127 | <1% | 40 | 40 | $244.30 |
3 more codes
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.