Physician
Pike, Marlys
Pike, Marlys was paid $217K by Medicaid between Dec 2020 and Dec 2024, across 12 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 39% of everything it billed.
33Billing provider infoPIKE, MARLYS
MECHANICSBURG, PA 17050
MECHANICSBURG, PA 17050
33aNPI1063552958assigned 02/08/2007
33bProvider typeEmergency Medicine Physician
28Total paid$217K
24GClaims6,374
24DCodes billed12
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#127 of 1,211
Median peer was paid$19K
This provider vs. median11×
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 | 21 | $504.00 | |
| 2021 | 956 | $35K | |
| 2022 | 1,975 | $68K | |
| 2023 | 2,048 | $68K | |
| 2024incomplete | 1,374 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 39% | 3,099 | 3,064 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 1,494 | 1,479 | $52K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 836 | 831 | $45K |
| 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 | 10% | 409 | 405 | $22K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.8% | 103 | 103 | $4K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.6% | 40 | 39 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 29 | 29 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 232 | 231 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 57 | 57 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 27 | 27 | $702.52 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 16 | 16 | $338.38 |
| 81003 | <1% | 32 | 32 | $103.91 |
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.