Biniaurishvili, Raoul

Biniaurishvili, Raoul was paid $12K by Medicaid between Nov 2020 and May 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.

33Billing provider infoBINIAURISHVILI, RAOUL
PHILADELPHIA, PA 19116

33aNPI1851326466assigned 07/11/2006

33bProvider typeNeurology Physician

28Total paid$12K

24GClaims291

24DCodes billed4

24AFirst – last monthNov 2020 – May 2021

Compared with peers

Next to other Neurology Physician providers in Pennsylvania

Rank by total paid#62 of 165

Median peer was paid$5K

This provider vs. median2.3×

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	46	$2K
2021	245	$11K

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	74%	253	241	$9K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	11%	12	12	$1K
99205	Prolong outpt/office vis	9.1%	13	13	$1K
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	5.5%	13	13	$677.45

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.