Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Butler, Margot

Butler, Margot was paid $100K by Medicaid between Sep 2023 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoBUTLER, MARGOT
WARREN, PA 16365
33aNPI1013951516assigned 06/15/2006
33bProvider typePediatrics Physician
28Total paid$100K
24GClaims3,509
24DCodes billed19
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#488 of 1,257
Median peer was paid$45K
This provider vs. median2.2×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20231,722$47K
2024incomplete1,787$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 893 829 $32K
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 29% 536 515 $29K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17% 215 202 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 135 135 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.4% 109 109 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.6% 64 64 $3K
92551 1.4% 302 302 $1K
99173 1.2% 334 332 $1K
90680 <1% 53 53 $583.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 84 83 $571.90
96161 <1% 141 136 $540.99
96127 <1% 198 198 $370.18
7 more codes
96160 <1% 84 $15.32
90656 0% 18 $0.00
90686 0% 121 $0.00
90697 0% 74 $0.00
90677 0% 92 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 44 $0.00
90670 0% 12 $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.