Physician
Whalen, Richard
Whalen, Richard was paid $281K by Medicaid between Nov 2020 and Dec 2024, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoWHALEN, RICHARD
TITUSVILLE, PA 16354
TITUSVILLE, PA 16354
33aNPI1043202138assigned 08/16/2005
33bProvider typeFamily Medicine Physician
28Total paid$281K
24GClaims8,175
24DCodes billed13
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#253 of 2,756
Median peer was paid$19K
This provider vs. median15×
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 | 139 | $9K | |
| 2021 | 1,084 | $70K | |
| 2022 | 1,090 | $58K | |
| 2023 | 2,665 | $77K | |
| 2024incomplete | 3,197 | $67K |
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 | 96% | 2,102 | 1,935 | $270K |
| 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 | 2.4% | 919 | 878 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 575 | 536 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 58 | 55 | $466.83 |
| 3078F | 0% | 518 | 495 | $0.00 | |
| 1090F | 0% | 12 | 12 | $0.00 | |
| 3028F | 0% | 109 | 104 | $0.00 | |
| 3008F | 0% | 1,268 | 1,206 | $0.00 | |
| 2001F | 0% | 718 | 670 | $0.00 | |
| 3079F | 0% | 258 | 247 | $0.00 | |
| 3074F | 0% | 906 | 857 | $0.00 | |
| 2000F | 0% | 720 | 671 | $0.00 |
1 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 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.