Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 6 | 141 | 213 | $46,715 | $9,627 |
| 2022 | 7 | 146 | 257 | $61,274 | $11,781 |
| 2021 | 7 | 128 | 189 | $46,548 | $10,077 |
| 2020 | 2 | 24 | 36 | $10,914 | $2,519 |
All Medicare Procedures & Services
26 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 36 | 41 | $12,899 | $2,868 | 22.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 24 | 27 | $8,494 | $1,692 | 19.9% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 19 | 27 | $7,479 | $1,597 | 21.4% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 13 | 13 | $6,638 | $1,260 | 19.0% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Facility | 2023 | 11 | 11 | $5,349 | $978.89 | 18.3% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2023 | 24 | 80 | $2,800 | $672.00 | 24.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 14 | 14 | $3,056 | $560.18 | 18.3% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 22 | 51 | $14,127 | $2,676 | 18.9% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Facility | 2022 | 20 | 25 | $11,725 | $2,662 | 22.7% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 16 | 17 | $7,973 | $1,767 | 22.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 23 | 24 | $7,056 | $1,734 | 24.6% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 17 | 20 | $5,880 | $1,192 | 20.3% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 11 | 11 | $5,401 | $1,097 | 20.3% |
| 80053 | Blood test, comprehensive group of blood chemicals | Office | 2022 | 11 | 28 | $4,508 | $292.50 | 6.5% |
| 82977 | Glutamyltransferase (liver enzyme) level | Office | 2022 | 11 | 29 | $2,888 | $206.84 | 7.2% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2022 | 15 | 52 | $1,716 | $154.26 | 9.0% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 20 | 45 | $11,835 | $2,458 | 20.8% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 23 | 31 | $8,680 | $2,031 | 23.4% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 16 | 16 | $7,856 | $1,648 | 21.0% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Facility | 2021 | 22 | 23 | $6,440 | $1,544 | 24.0% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 12 | 12 | $5,280 | $1,236 | 23.4% |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | Office | 2021 | 11 | 11 | $2,552 | $840.40 | 32.9% |
| 80053 | Blood test, comprehensive group of blood chemicals | Office | 2021 | 11 | 22 | $2,948 | $232.32 | 7.9% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2021 | 13 | 29 | $957.00 | $87.00 | 9.1% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2020 | 11 | 21 | $7,434 | $1,709 | 23.0% |
About Dr. Paulina Phillips, M.D
Dr. Paulina Phillips, M.D is a Gastroenterology healthcare provider based in Madison, Wisconsin. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/21/2011. The National Provider Identifier (NPI) number assigned to this provider is 1699063883.
As a Medicare-enrolled provider, Phillips has provided services to 439 Medicare beneficiaries, totaling 695 services with total Medicare billing of $34,004. Data is available for 4 years (2020–2023), covering 26 distinct procedure/service records.
Practice Information
- Specialty Gastroenterology
- Location Madison, WI
- Active Since 07/21/2011
- Last Updated 01/07/2021
- Taxonomy Code 207RG0100X
- Entity Type Individual
- NPI Number 1699063883
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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