Physician
Duffy, Ilona
Duffy, Ilona was paid $62K by Medicaid between Oct 2020 and Nov 2021, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
33Billing provider infoDUFFY, ILONA
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
33aNPI1053607044assigned 06/28/2011
33bProvider typePediatrics Physician
28Total paid$62K
24GClaims1,875
24DCodes billed19
24AFirst – last monthOct 2020 – Nov 2021
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#562 of 1,257
Median peer was paid$45K
This provider vs. median1.4×
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 | 370 | $15K | |
| 2021 | 1,505 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 18% | 132 | 125 | $11K |
| 99460 | 16% | 189 | 173 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 152 | 133 | $9K |
| S9470 | Nutritional counseling, dietitian visit | 12% | 281 | 243 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | 11% | 110 | 105 | $7K |
| S9451 | Exercise classes, non-physician provider, per session | 9.9% | 239 | 208 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 35 | 28 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 26 | 26 | $3K |
| 99462 | 3.3% | 101 | 77 | $2K | |
| 92551 | 2.7% | 204 | 171 | $2K | |
| 92552 | <1% | 21 | 17 | $583.38 | |
| 90688 | <1% | 44 | 44 | $482.48 |
7 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.