Pappenheim, John

Pappenheim, John was paid $215K by Medicaid between Jan 2018 and Oct 2019, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoPAPPENHEIM, JOHN
JUNEAU, AK 99801

33aNPI1972666857assigned 12/19/2006

33bProvider typePsychiatry Physician

28Total paid$215K

24GClaims1,484

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Psychiatry Physician providers in Alaska

Rank by total paid#12 of 19

Median peer was paid$266K

This provider vs. median0.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (10/20/2024).

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	767	$113K
2019	717	$103K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	55%	801	468	$118K
90836		28%	467	323	$61K
90838		17%	216	147	$37K

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.