Physician
Church, Daniel
Church, Daniel was paid $2.05M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoCHURCH, DANIEL
WAYNESBURG, PA 15370
WAYNESBURG, PA 15370
33aNPI1013979657assigned 04/06/2006
33bProvider typePediatrics Physician
28Total paid$2.05M
24GClaims34,254
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#43 of 1,257
Median peer was paid$45K
This provider vs. median45×
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 | |
|---|---|---|---|
| 2018 | 1,023 | $61K | |
| 2019 | 446 | $32K | |
| 2020 | 1,943 | $154K | |
| 2021 | 14,112 | $1.03M | |
| 2022 | 7,478 | $491K | |
| 2023 | 5,294 | $152K | |
| 2024incomplete | 3,958 | $135K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 83% | 8,834 | 7,299 | $1.71M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 7,016 | 6,127 | $129K |
| 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 | 4.3% | 3,143 | 2,935 | $88K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 1,385 | 1,384 | $33K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 975 | 953 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,199 | 1,199 | $20K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 651 | 648 | $10K |
| 92551 | <1% | 2,504 | 2,497 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,302 | 1,297 | $6K |
| 99173 | <1% | 2,256 | 2,250 | $4K | |
| 90671 | <1% | 129 | 129 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 23 | 23 | $1K |
31 more codes
| 90686 | <1% | 82 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 351 | $924.21 |
| 90734 | <1% | 13 | $844.65 | |
| 83655 | <1% | 211 | $672.44 | |
| 99441 | <1% | 17 | $640.00 | |
| 90380 | <1% | 13 | $581.90 | |
| 90688 | <1% | 126 | $539.00 | |
| 90674 | <1% | 52 | $479.65 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 12 | $370.56 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 97 | $315.32 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $209.55 |
| 90633 | <1% | 13 | $143.00 | |
| 96161 | <1% | 208 | $57.45 | |
| 96160 | <1% | 393 | $53.62 | |
| 85018 | <1% | 136 | $53.25 | |
| 96127 | <1% | 420 | $52.80 | |
| 90461 | 0% | 766 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,264 | $0.00 |
| 90670 | 0% | 26 | $0.00 | |
| 90473 | 0% | 76 | $0.00 | |
| 90648 | 0% | 161 | $0.00 | |
| 81002 | 0% | 26 | $0.00 | |
| 3078F | 0% | 22 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 43 | $0.00 |
| 3725F | 0% | 31 | $0.00 | |
| 3074F | 0% | 21 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 51 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 77 | $0.00 |
| 90680 | 0% | 29 | $0.00 | |
| 90723 | 0% | 69 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 16 | $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.