Physician
Fowler, Stephen
Fowler, Stephen was paid $662K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoFOWLER, STEPHEN
KITTANNING, PA 16201
KITTANNING, PA 16201
33aNPI1083617203assigned 05/23/2005
33bProvider typePediatrics Physician
28Total paid$662K
24GClaims12,769
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#146 of 1,257
Median peer was paid$45K
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 | |
|---|---|---|---|
| 2018 | 254 | $28K | |
| 2019 | 28 | $3K | |
| 2020 | 251 | $18K | |
| 2021 | 2,689 | $150K | |
| 2022 | 3,026 | $156K | |
| 2023 | 3,781 | $170K | |
| 2024incomplete | 2,740 | $136K |
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 | 94% | 4,851 | 4,413 | $624K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 1,858 | 1,799 | $17K |
| 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 | 1.7% | 1,013 | 954 | $11K |
| 99051 | <1% | 238 | 232 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 80 | 75 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 235 | 235 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 262 | 262 | $868.50 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 56 | 55 | $218.56 |
| 90688 | <1% | 17 | 17 | $187.00 | |
| 96160 | <1% | 46 | 41 | $37.52 | |
| 3008F | 0% | 1,753 | 1,689 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 310 | 308 | $0.00 |
10 more codes
| 92551 | 0% | 862 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 57 | $0.00 |
| 96161 | 0% | 12 | $0.00 | |
| 96127 | 0% | 12 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 77 | $0.00 |
| 99173 | 0% | 803 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 54 | $0.00 |
| G9920 | Screening performed and negative | 0% | 133 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $0.00 |
| 90661 | 0% | 28 | $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.