Stern, Douglas

Stern, Douglas was paid $63K by Medicaid between Feb 2021 and Oct 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 46% of everything it billed.

33Billing provider infoSTERN, DOUGLAS
MC CONNELLSBURG, PA 17233

33aNPI1023065968assigned 05/27/2006

33bProvider typeEmergency Medicine Physician

28Total paid$63K

24GClaims1,552

24DCodes billed6

24AFirst – last monthFeb 2021 – Oct 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#365 of 1,211

Median peer was paid$19K

This provider vs. median3.2×

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

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
2021	218	$29K
2022	303	$7K
2023	786	$18K
2024incomplete	245	$8K

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	46%	166	144	$29K
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%	382	368	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	500	461	$15K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.3%	13	13	$819.09
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	12	$273.08
3008F		0%	479	451	$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.