Physician
Fox, Constanza
Fox, Constanza was paid $76K by Medicaid between Jan 2018 and Aug 2020, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoFOX, CONSTANZA
MOUNT PLEASANT, MI 48858
MOUNT PLEASANT, MI 48858
33aNPI1831157734assigned 05/02/2006
33bProvider typePediatrics Physician
28Total paid$76K
24GClaims2,387
24DCodes billed18
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#233 of 349
Median peer was paid$321K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2018 | 724 | $22K | |
| 2019 | 1,175 | $36K | |
| 2020 | 488 | $18K |
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 | 49% | 759 | 674 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 20% | 241 | 239 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 720 | 701 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 100 | 100 | $7K |
| 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 | 6.2% | 74 | 72 | $5K |
| 92015 | Determination of refractive state | <1% | 63 | 63 | $598.94 |
| D0190 | <1% | 179 | 179 | $417.04 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | 14 | $123.39 |
| 99051 | <1% | 13 | 13 | $45.00 | |
| 96127 | <1% | 12 | 12 | $41.55 | |
| 90685 | 0% | 30 | 30 | $0.00 | |
| 90670 | 0% | 53 | 52 | $0.00 |
6 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.