Physician
Fockler, Craig
Fockler, Craig was paid $127K by Medicaid between Nov 2020 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoFOCKLER, CRAIG
JOHNSTOWN, PA 15904
JOHNSTOWN, PA 15904
33aNPI1104820687assigned 06/13/2005
33bProvider typeFamily Medicine Physician
28Total paid$127K
24GClaims3,380
24DCodes billed13
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#535 of 2,756
Median peer was paid$19K
This provider vs. median6.6×
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 | 42 | $2K | |
| 2021 | 410 | $19K | |
| 2022 | 595 | $28K | |
| 2023 | 854 | $33K | |
| 2024incomplete | 1,479 | $44K |
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 | 73% | 1,794 | 1,662 | $92K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 616 | 563 | $21K |
| 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 | 4.3% | 57 | 57 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.0% | 101 | 98 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 107 | 56 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 13 | $716.16 |
| 96127 | <1% | 127 | 79 | $563.20 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 41 | 40 | $204.07 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 14 | 13 | $158.29 |
| 3078F | 0% | 215 | 207 | $0.00 | |
| 3079F | 0% | 58 | 58 | $0.00 | |
| 3074F | 0% | 209 | 201 | $0.00 |
1 more codes
| 3075F | 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.