Physician
Modelewski, Paul
Modelewski, Paul was paid $5K by Medicaid between Oct 2021 and Jun 2024, across 2 billing codes. Its largest line is 99284, emergency room visit (serious) — 95% of everything it billed.
33Billing provider infoMODELEWSKI, PAUL
MECHANICSBURG, PA 17050
MECHANICSBURG, PA 17050
33aNPI1033556881assigned 06/03/2013
33bProvider typeEmergency Medicine Physician
28Total paid$5K
24GClaims102
24DCodes billed2
24AFirst – last monthOct 2021 – Jun 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#849 of 1,211
Median peer was paid$19K
This provider vs. median0.3×
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 | 14 | $275.00 | |
| 2022 | 31 | $2K | |
| 2023 | 38 | $2K | |
| 2024incomplete | 19 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 95% | 88 | 88 | $5K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.0% | 14 | 12 | $275.00 |
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.