Physician
Skakalski, Tonia
Skakalski, Tonia was paid $25K by Medicaid between Dec 2020 and Jun 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 97% of everything it billed.
33Billing provider infoSKAKALSKI, TONIA
SHARON, PA 16146
SHARON, PA 16146
33aNPI1013911411assigned 06/13/2005
33bProvider typeObstetrics & Gynecology Physician
28Total paid$25K
24GClaims739
24DCodes billed3
24AFirst – last monthDec 2020 – Jun 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Pennsylvania
Rank by total paid#205 of 511
Median peer was paid$14K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2020 | 16 | $616.00 | |
| 2021 | 206 | $7K | |
| 2022 | 157 | $5K | |
| 2023 | 205 | $7K | |
| 2024incomplete | 155 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 97% | 682 | 609 | $24K |
| 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 | 3.4% | 15 | 13 | $838.04 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 42 | 42 | $0.00 |
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.