MITCHELL FORMAN, DO
NPI Number
1891767638
Total Medicaid Payments
$8,236
0% vs specialty average
Patients Seen
78
Total Claims
83
$ Per Patient
$106
Specialty avg: $106
Specialty Rank
#1 of 1
Rheumatology Physician providers in Nevada
Peer Average
$8,236
Average total for Rheumatology Physician
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $8,236 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99214 | Office visit for a moderate problem (established patient) | 68 | $5,406 | 65.6% | $80 |
| 99205 | New patient office visit — comprehensive visit for a complex problem | 15 | $2,830 | 34.4% | $189 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.