Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Zogala, Richard

Zogala, Richard was paid $3K by Medicaid between Oct 2019 and Jun 2020, across 2 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 58% of everything it billed.

33Billing provider infoZOGALA, RICHARD
GRAND JUNCTION, CO 81506
33aNPI1962842955assigned 07/05/2013
33bProvider typeRheumatology Physician
28Total paid$3K
24GClaims32
24DCodes billed2
24AFirst – last monthOct 2019 – Jun 2020
Compared with peers

Next to other Rheumatology Physician providers in Colorado

Rank by total paid#22 of 31
Median peer was paid$7K
This provider vs. median0.4×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
201918$2K
202014$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 58% 18 16 $2K
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% 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.