Physician
Crocenelli, Theresa
Crocenelli, Theresa was paid $119K by Medicaid between Mar 2020 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoCROCENELLI, THERESA
MOON TOWNSHIP, PA 15108
MOON TOWNSHIP, PA 15108
33aNPI1023005618assigned 09/29/2005
33bProvider typePediatrics Physician
28Total paid$119K
24GClaims5,191
24DCodes billed17
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#458 of 1,257
Median peer was paid$45K
This provider vs. median2.6×
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 | 149 | $3K | |
| 2021 | 892 | $23K | |
| 2022 | 1,213 | $29K | |
| 2023 | 1,680 | $37K | |
| 2024incomplete | 1,257 | $28K |
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 | 63% | 2,080 | 1,920 | $74K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 200 | 200 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 179 | 177 | $10K |
| 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 | 4.4% | 92 | 89 | $5K |
| 99173 | 3.6% | 847 | 844 | $4K | |
| 92551 | 3.5% | 824 | 821 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 50 | 50 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 53 | 53 | $3K |
| 90688 | <1% | 116 | 104 | $737.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 28 | 28 | $220.29 |
| 96127 | <1% | 158 | 158 | $184.80 | |
| 87081 | <1% | 24 | 24 | $141.82 |
5 more codes
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.