Physician
States, Phillip
States, Phillip was paid $888K by Medicaid between Jan 2018 and Dec 2024, across 33 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 infoSTATES, PHILLIP
PUNXSUTAWNEY, PA 15767
PUNXSUTAWNEY, PA 15767
33aNPI1093791246assigned 12/20/2005
33bProvider typeFamily Medicine Physician
28Total paid$888K
24GClaims11,903
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#70 of 2,756
Median peer was paid$19K
This provider vs. median46×
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 | 237 | $16K | |
| 2019 | 49 | $4K | |
| 2020 | 534 | $41K | |
| 2021 | 2,884 | $260K | |
| 2022 | 2,818 | $254K | |
| 2023 | 2,678 | $182K | |
| 2024incomplete | 2,703 | $130K |
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% | 8,477 | 7,450 | $833K |
| 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 | 3.2% | 852 | 803 | $29K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.4% | 197 | 195 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 491 | 476 | $9K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 29 | 28 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | 26 | $528.00 |
| 90688 | <1% | 18 | 18 | $321.24 | |
| 90686 | <1% | 13 | 12 | $287.04 | |
| G0008 | Administration of influenza virus vaccine | <1% | 28 | 28 | $286.00 |
| 99173 | <1% | 82 | 80 | $225.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 36 | 36 | $220.00 |
| 92551 | <1% | 28 | 27 | $114.40 |
21 more codes
| 92552 | <1% | 25 | $26.40 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | $22.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 17 | $15.38 |
| 94760 | <1% | 28 | $5.20 | |
| 1090F | 0% | 181 | $0.00 | |
| 90715 | 0% | 15 | $0.00 | |
| 1159F | 0% | 262 | $0.00 | |
| 3078F | 0% | 83 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 22 | $0.00 |
| 1126F | 0% | 78 | $0.00 | |
| 3074F | 0% | 193 | $0.00 | |
| 1101F | 0% | 158 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 26 | $0.00 |
| 3008F | 0% | 224 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 100 | $0.00 |
| 3075F | 0% | 12 | $0.00 | |
| 1036F | 0% | 72 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| 3079F | 0% | 29 | $0.00 | |
| 1125F | 0% | 26 | $0.00 | |
| 1034F | 0% | 44 | $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.