Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pearce, Orin

Pearce, Orin was paid $93K by Medicaid between Jan 2018 and Mar 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoPEARCE, ORIN
QUEENS VILLAGE, NY 11428
33aNPI1891821609assigned 02/26/2007
33bProvider typeSpecialist
28Total paid$93K
24GClaims1,270
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers

Next to other Specialist providers in New York

Rank by total paid#491 of 1,221
Median peer was paid$45K
This provider vs. median2.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018381$27K
2019364$26K
2020160$13K
2021316$24K
202249$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 60% 691 614 $56K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 348 325 $19K
76830 Ultrasound, transvaginal 11% 116 114 $10K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 9.5% 115 114 $9K

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.