Banez, Monico

Banez, Monico was paid $17K by Medicaid between Jul 2018 and Nov 2020, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 45% of everything it billed.

33Billing provider infoBANEZ, MONICO
JACKSON, TN 38301

33aNPI1962479451assigned 03/02/2006

33bProvider typeHospitalist Physician

28Total paid$17K

24GClaims1,003

24DCodes billed6

24AFirst – last monthJul 2018 – Nov 2020

Compared with peers

Next to other Hospitalist Physician providers in Tennessee

Rank by total paid#36 of 83

Median peer was paid$13K

This provider vs. median1.3×

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	12	$177.92
2019	267	$4K
2020	724	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	45%	628	207	$8K
99223	Prolong inpt eval add15 m	44%	194	161	$7K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	6.8%	119	51	$1K
99220		1.9%	31	12	$313.44
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.4%	19	13	$226.31
99221		1.1%	12	12	$177.92

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.