Physician
Plessen Medical Group, LLC
Plessen Medical Group, LLC was paid $671K by Medicaid between Feb 2019 and Aug 2024, across 29 billing codes. Its largest line is 87811, Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) — 24% of everything it billed.
33Billing provider infoPLESSEN MEDICAL GROUP, LLC
CHRISTIANSTED, VI 00820
CHRISTIANSTED, VI 00820
33aNPI1821331133assigned 04/04/2013
33bProvider typePediatric Orthopaedic Surgery Physician
28Total paid$671K
24GClaims20,208
24DCodes billed29
24AFirst – last monthFeb 2019 – Aug 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 | |
|---|---|---|---|
| 2019 | 93 | $7K | |
| 2020 | 1,386 | $33K | |
| 2021 | 11,269 | $352K | |
| 2022 | 5,113 | $176K | |
| 2023 | 1,747 | $76K | |
| 2024incomplete | 600 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 24% | 4,122 | 3,725 | $162K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 22% | 6,428 | 5,784 | $146K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 980 | 795 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 995 | 700 | $59K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.3% | 1,020 | 980 | $49K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.9% | 780 | 711 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 244 | 224 | $23K |
| 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 | 3.0% | 209 | 177 | $20K |
| 99457 | 2.9% | 1,126 | 934 | $19K | |
| 99454 | 2.5% | 877 | 782 | $17K | |
| 99458 | 2.2% | 487 | 420 | $15K | |
| 86769 | 1.8% | 302 | 148 | $12K |
17 more codes
| 0002A | 1.2% | 362 | $8K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.1% | 341 | $7K |
| 97597 | 1.0% | 102 | $7K | |
| 99490 | Ccm add 20min | <1% | 405 | $6K |
| 0001A | <1% | 385 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 33 | $3K |
| 11721 | <1% | 57 | $1K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 38 | $929.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 359 | $739.80 |
| 99201 | <1% | 14 | $663.91 | |
| 0012A | <1% | 22 | $482.63 | |
| 0011A | <1% | 26 | $355.74 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 135 | $220.52 |
| 99453 | <1% | 29 | $71.83 | |
| 0003A | 0% | 99 | $0.00 | |
| 99072 | 0% | 207 | $0.00 | |
| 99000 | 0% | 24 | $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 officialEAST, ANGELA (EA TO CEO AND CMO)
Parent organizationPLESSEN MEDICAL GROUP, LLC