Physician
Koppenheffer, Peter
Koppenheffer, Peter was paid $12K by Medicaid between May 2018 and Dec 2024, across 11 billing codes. Its largest line is 96127, — 44% of everything it billed.
33Billing provider infoKOPPENHEFFER, PETER
GREENFIELD, MA 01301
GREENFIELD, MA 01301
33aNPI1053637561assigned 04/09/2010
33bProvider typeFamily Medicine Physician
28Total paid$12K
24GClaims3,977
24DCodes billed11
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#363 of 744
Median peer was paid$10K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2018 | 14 | $155.07 | |
| 2023 | 1,884 | $6K | |
| 2024incomplete | 2,079 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96127 | 44% | 505 | 503 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 29% | 321 | 320 | $3K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 25% | 351 | 349 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 941 | 926 | $272.91 |
| 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 | 0% | 1,329 | 1,285 | $0.00 |
| 99441 | 0% | 13 | 13 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 51 | 51 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 159 | 158 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 86 | 86 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 168 | 168 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 53 | 53 | $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.