Physician
Hall, Arthur
Hall, Arthur was paid $907K by Medicaid between Jan 2018 and Sep 2023, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoHALL, ARTHUR
BRONX, NY 10469
BRONX, NY 10469
33aNPI1932282779assigned 10/23/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$907K
24GClaims33,298
24DCodes billed61
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#38 of 161
Median peer was paid$100K
This provider vs. median9.0×
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 | |
|---|---|---|---|
| 2018 | 4,316 | $178K | |
| 2019 | 5,714 | $156K | |
| 2020 | 6,935 | $158K | |
| 2021 | 7,240 | $175K | |
| 2022 | 4,535 | $139K | |
| 2023 | 4,558 | $101K |
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 | 33% | 5,496 | 5,157 | $297K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 5,148 | 4,747 | $145K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 1,463 | 1,462 | $95K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.8% | 1,177 | 1,176 | $80K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.2% | 1,154 | 1,153 | $74K |
| 99401 | 8.1% | 3,038 | 2,815 | $73K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 518 | 511 | $35K |
| 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 | 3.6% | 435 | 427 | $33K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.5% | 1,045 | 1,041 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 185 | 184 | $11K |
| 92587 | 1.1% | 493 | 492 | $10K | |
| 97802 | <1% | 1,084 | 1,078 | $6K |
49 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 140 | $5K |
| 96127 | <1% | 1,348 | $4K | |
| 0072A | <1% | 72 | $3K | |
| 0071A | <1% | 62 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,391 | $2K |
| S9470 | Nutritional counseling, dietitian visit | <1% | 349 | $2K |
| 90686 | <1% | 945 | $2K | |
| 0001A | <1% | 47 | $2K | |
| 99173 | <1% | 763 | $1K | |
| 0124A | <1% | 32 | $1K | |
| H0049 | Alcohol and/or drug screening | <1% | 85 | $1K |
| 0002A | <1% | 34 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 237 | $1K |
| 90620 | <1% | 68 | $802.39 | |
| 90461 | <1% | 32 | $748.66 | |
| 99406 | <1% | 151 | $629.74 | |
| 92551 | <1% | 81 | $541.70 | |
| 90670 | <1% | 333 | $400.00 | |
| 90715 | <1% | 85 | $396.68 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | $312.83 |
| 99408 | <1% | 87 | $301.22 | |
| 90672 | <1% | 197 | $229.16 | |
| 87110 | <1% | 69 | $212.64 | |
| 90651 | <1% | 184 | $194.09 | |
| 90734 | <1% | 70 | $177.98 | |
| 90716 | <1% | 114 | $143.02 | |
| 90700 | <1% | 583 | $100.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 1,089 | $60.00 |
| 90707 | <1% | 72 | $56.00 | |
| 90648 | <1% | 214 | $50.00 | |
| 96161 | <1% | 43 | $35.17 | |
| H0001 | Alcohol and/or drug assessment | <1% | 79 | $29.49 |
| 90633 | <1% | 134 | $24.00 | |
| 90685 | <1% | 167 | $20.34 | |
| 91300 | <1% | 161 | $0.06 | |
| 91312 | <1% | 20 | $0.01 | |
| 3725F | 0% | 634 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 78 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 15 | $0.00 |
| 90713 | 0% | 355 | $0.00 | |
| 3016F | 0% | 43 | $0.00 | |
| 1000F | 0% | 530 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 33 | $0.00 |
| 1036F | 0% | 528 | $0.00 | |
| 91307 | 0% | 155 | $0.00 | |
| 3008F | 0% | 23 | $0.00 | |
| 90680 | 0% | 41 | $0.00 | |
| 90744 | 0% | 46 | $0.00 | |
| 90619 | 0% | 13 | $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.