Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NV › Las Vegas › NPI 1801055975
Physician

Helga Fuenfhausen Pizio, MD, LTD

Helga Fuenfhausen Pizio, MD, LTD was paid $168K by Medicaid between Jan 2018 and Jun 2022, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoHELGA FUENFHAUSEN PIZIO, MD, LTD
LAS VEGAS, NV 89106
33aNPI1801055975assigned 06/04/2008
33bProvider typeOphthalmology Physician
28Total paid$168K
24GClaims5,064
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers

Next to other Ophthalmology Physician providers in Nevada

Rank by total paid#14 of 69
Median peer was paid$16K
This provider vs. median10×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,228$29K
20192,271$83K
20201,002$33K
2021536$23K
202227$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 2,868 2,271 $94K
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 14% 284 235 $24K
92250 13% 880 685 $23K
92136 4.1% 225 173 $7K
92083 2.7% 196 146 $4K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1.9% 15 12 $3K
92025 1.8% 226 174 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.7% 82 71 $3K
92133 1.5% 153 114 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 69 53 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 17 15 $1K
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 <1% 13 12 $928.41
2 more codes
92134 <1% 20 $321.60
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 16 $282.09

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.

From NPPES

Who's on the registration

Authorized officialGRIM, AMY (CREDENTIALING SPECIALIST)
Same official

Other billing entities under GRIM, AMY

Full network →
ProviderLocationPaid
Stonecreek Surgery Center LLCLas Vegas, NV$623K
Green Valley Surgery Center LLCLas Vegas, NV$363K
Las Vegas East Ophthalmology Asc LLCLas Vegas, NV$94K
Peter W. Debry M.D. Dba NV Eye SurgeryHenderson, NV$46K
Shepherd Eye Center, LTDHenderson, NV$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.