Physician
Grafstein, Neil
Grafstein, Neil was paid $9K by Medicaid between Sep 2020 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoGRAFSTEIN, NEIL
DURHAM, NC 27704
DURHAM, NC 27704
33aNPI1891800033assigned 08/20/2006
33bProvider typeUrology Physician
28Total paid$9K
24GClaims1,030
24DCodes billed4
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers
Next to other Urology Physician providers in North Carolina
Rank by total paid#40 of 69
Median peer was paid$15K
This provider vs. median0.6×
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 | 30 | $0.00 | |
| 2021 | 41 | $0.00 | |
| 2022 | 58 | $0.00 | |
| 2023 | 379 | $3K | |
| 2024incomplete | 522 | $6K |
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% | 323 | 315 | $6K |
| 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 | 26% | 57 | 57 | $2K |
| 99072 | 0% | 31 | 27 | $0.00 | |
| 1036F | 0% | 619 | 605 | $0.00 |
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.