Sachs, Marc

Sachs, Marc was paid $92K by Medicaid between Jan 2018 and Jun 2020, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 35% of everything it billed.

33Billing provider infoSACHS, MARC
CAPE GIRARDEAU, MO 63703

33aNPI1831254002assigned 12/27/2006

33bProvider typeOtolaryngology Physician

28Total paid$92K

24GClaims1,271

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Otolaryngology Physician providers in Missouri

Rank by total paid#10 of 53

Median peer was paid$17K

This provider vs. median5.4×

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	664	$47K
2019	505	$36K
2020	102	$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	35%	448	436	$32K
42820	Tonsillectomy and adenoidectomy; younger than age 12	20%	69	69	$18K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	17%	76	70	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	309	298	$13K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	9.5%	284	283	$9K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	4.6%	85	85	$4K

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.