Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Bentleyville › NPI 1104969708
Physician

Kirby, Anthony

Kirby, Anthony was paid $68K by Medicaid between Nov 2020 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoKIRBY, ANTHONY
BENTLEYVILLE, PA 15314
33aNPI1104969708assigned 02/14/2007
28Total paid$68K
24GClaims3,295
24DCodes billed8
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Pennsylvania

Rank by total paid#10 of 34
Median peer was paid$19K
This provider vs. median3.6×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
202085$2K
20211,038$20K
2022716$16K
2023815$17K
2024incomplete641$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 75% 2,295 2,095 $51K
20552 11% 323 307 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 155 149 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.1% 66 64 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 1.4% 339 322 $924.95
20610 <1% 13 12 $116.32
J1010 Injection, methylprednisolone acetate, 1 mg 0% 92 89 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 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.