Physician
Arthur R Vendola MD PC
Arthur R Vendola MD PC was paid $2.31M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 59426, — 27% of everything it billed.
33Billing provider infoARTHUR R VENDOLA MD PC
JACKSON, MI 49201
JACKSON, MI 49201
33aNPI1912174921assigned 05/09/2008
33bProvider typeGynecology Physician
28Total paid$2.31M
24GClaims20,641
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gynecology Physician providers in Michigan
Rank by total paid#2 of 17
Median peer was paid$60K
This provider vs. median38×
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 | 3,379 | $441K | |
| 2019 | 3,449 | $377K | |
| 2020 | 3,260 | $376K | |
| 2021 | 3,573 | $527K | |
| 2022 | 2,965 | $275K | |
| 2023 | 2,330 | $167K | |
| 2024incomplete | 1,685 | $151K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 27% | 750 | 739 | $622K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 6,172 | 5,499 | $359K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 15% | 447 | 446 | $350K |
| 58558 | 12% | 434 | 434 | $276K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 9.8% | 2,669 | 2,666 | $227K |
| 59430 | 3.6% | 426 | 420 | $83K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 3.3% | 1,271 | 1,265 | $77K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.2% | 922 | 921 | $75K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.8% | 991 | 965 | $65K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 1,278 | 1,226 | $52K |
| 59025 | Fetal non-stress test | 1.4% | 1,891 | 776 | $33K |
| 59514 | <1% | 24 | 24 | $22K |
17 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 462 | $18K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 432 | $10K |
| 58660 | <1% | 25 | $9K | |
| 81025 | <1% | 986 | $7K | |
| 76801 | <1% | 97 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 592 | $5K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 46 | $4K |
| 99406 | <1% | 399 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 38 | $3K |
| 57455 | <1% | 24 | $2K | |
| 99221 | <1% | 28 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 86 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $934.05 |
| 82270 | <1% | 31 | $106.24 | |
| 96127 | <1% | 32 | $95.79 | |
| 0502F | 0% | 62 | $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.
From NPPES
Who's on the registration
Authorized officialVENDOLA, ARTHUR (OWNER)