Tiberio, Richard

Tiberio, Richard was paid $31K by Medicaid between Jan 2021 and Jan 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoTIBERIO, RICHARD
CONNELLSVILLE, PA 15425

33aNPI1073570933assigned 04/26/2006

33bProvider typeInternal Medicine Physician

28Total paid$31K

24GClaims1,424

24DCodes billed6

24AFirst – last monthJan 2021 – Jan 2023

Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#443 of 1,726

Median peer was paid$6K

This provider vs. median4.8×

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	447	$11K
2022	927	$19K
2023	50	$808.50

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	57%	392	372	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	376	365	$12K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.9%	21	20	$1K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	610	585	$0.00
3079F		0%	13	13	$0.00
3078F		0%	12	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.