Physician
Sklar, Joseph
Sklar, Joseph was paid $10K by Medicaid between Jan 2018 and Oct 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.
33Billing provider infoSKLAR, JOSEPH
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
33aNPI1851312417assigned 07/21/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$10K
24GClaims182
24DCodes billed2
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Massachusetts
Rank by total paid#81 of 166
Median peer was paid$10K
This provider vs. median1.1×
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 | 109 | $6K | |
| 2019 | 73 | $4K |
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 | 86% | 157 | 153 | $9K |
| 20610 | 14% | 25 | 24 | $1K |
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.