Physician
Optimal Mens Center PLLC
Optimal Mens Center PLLC was paid $26K by Medicaid between Jul 2020 and Mar 2021, across 7 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 75% of everything it billed.
33Billing provider infoOPTIMAL MENS CENTER PLLC
GOODYEAR, AZ 85338
GOODYEAR, AZ 85338
33aNPI1811535974assigned 12/19/2019
33bProvider typeFamily Medicine Physician
28Total paid$26K
24GClaims1,243
24DCodes billed7
24AFirst – last monthJul 2020 – Mar 2021
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#282 of 442
Median peer was paid$77K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 914 | $16K | |
| 2021 | 329 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 75% | 351 | 326 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 105 | 84 | $5K |
| 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 | 5.2% | 21 | 18 | $1K |
| 94664 | 1.6% | 39 | 33 | $400.51 | |
| 99000 | <1% | 41 | 28 | $20.34 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 362 | 287 | $0.00 |
| 99072 | 0% | 324 | 236 | $0.00 |
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 officialKNIGHT, KERRY (PARTNER)