Say, Phillip

Say, Phillip was paid $79K by Medicaid between Jan 2018 and Dec 2018, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 59% of everything it billed.

33Billing provider infoSAY, PHILLIP
LAS VEGAS, NV 89120

33aNPI1972591899assigned 10/13/2005

33bProvider typeOtolaryngology Physician

28Total paid$79K

24GClaims1,206

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Otolaryngology Physician providers in Nevada

Rank by total paid#8 of 28

Median peer was paid$32K

This provider vs. median2.4×

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

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	1,206	$79K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	59%	553	509	$46K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	38%	522	483	$30K
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	2.7%	18	15	$2K
99070		<1%	113	109	$635.50

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.