John, Sarah

John, Sarah was paid $12K by Medicaid between Nov 2019 and Sep 2021, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 35% of everything it billed.

33Billing provider infoJOHN, SARAH
AUSTIN, TX 78758

33aNPI1881951259assigned 04/23/2012

33bProvider typeHospitalist Physician

28Total paid$12K

24GClaims200

24DCodes billed4

24AFirst – last monthNov 2019 – Sep 2021

Compared with peers

Next to other Hospitalist Physician providers in Texas

Rank by total paid#27 of 71

Median peer was paid$6K

This provider vs. median2.0×

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
2019	25	$2K
2020	134	$8K
2021	41	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	35%	59	59	$4K
99460		28%	68	52	$3K
99239	Hospital discharge day management, more than 30 minutes	26%	61	52	$3K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	11%	12	12	$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.