Physician
Paul C Krisa, M.D, PA
Paul C Krisa, M.D, PA was paid $193K by Medicaid between Jan 2018 and Dec 2020, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoPAUL C KRISA, M.D, PA
CLIFTON, NJ 07013
CLIFTON, NJ 07013
33aNPI1922139559assigned 03/07/2007
33bProvider typeInternal Medicine Physician
28Total paid$193K
24GClaims4,744
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#243 of 1,027
Median peer was paid$30K
This provider vs. median6.5×
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 | 1,442 | $65K | |
| 2019 | 1,428 | $59K | |
| 2020 | 1,874 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 1,043 | 1,000 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 855 | 791 | $48K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 17% | 1,308 | 659 | $32K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.8% | 912 | 446 | $9K |
| 93922 | 3.7% | 100 | 100 | $7K | |
| 99497 | 3.4% | 146 | 146 | $7K | |
| 93000 | 2.2% | 306 | 306 | $4K | |
| 99318 | 1.7% | 60 | 59 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | 14 | $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.
From NPPES
Who's on the registration
Authorized officialKRISA, PAUL (OWNER)