Zwillenberg, Seth

Zwillenberg, Seth was paid $62K by Medicaid between Oct 2020 and Feb 2022, across 8 billing codes. Its largest line is 99243, — 42% of everything it billed.

33Billing provider infoZWILLENBERG, SETH
PHILADELPHIA, PA 19103

33aNPI1952372906assigned 01/29/2006

33bProvider typeOtolaryngology Physician

28Total paid$62K

24GClaims1,109

24DCodes billed8

24AFirst – last monthOct 2020 – Feb 2022

Compared with peers

Next to other Otolaryngology Physician providers in Pennsylvania

Rank by total paid#41 of 136

Median peer was paid$13K

This provider vs. median4.7×

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	86	$6K
2021	868	$45K
2022	155	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99243		42%	278	273	$26K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	507	476	$16K
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	10%	86	84	$6K
31231		10.0%	95	88	$6K
31575		9.4%	87	82	$6K
92557		<1%	21	16	$584.30
69210		<1%	15	15	$317.50
92550		<1%	20	15	$233.72

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.