Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Washington › NPI 1114459971
Physician

Philbin, Molly

Philbin, Molly was paid $270K by Medicaid between Nov 2020 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoPHILBIN, MOLLY
WASHINGTON, PA 15301
33aNPI1114459971assigned 03/31/2017
33bProvider typePediatrics Physician
28Total paid$270K
24GClaims11,202
24DCodes billed30
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#297 of 1,257
Median peer was paid$45K
This provider vs. median5.9×

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$5.0K$10K$15K2018201920202021202220232024
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
2020303$5K
20211,741$48K
20222,240$61K
20233,273$76K
2024incomplete3,645$80K
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 48% 3,508 3,347 $129K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 21% 566 559 $56K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 18% 566 559 $49K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.3% 181 180 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.8% 624 610 $5K
99177 1.7% 734 726 $5K
92551 1.2% 746 738 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 15 15 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 75 74 $1K
99188 <1% 50 50 $972.00
96161 <1% 189 189 $742.21
90670 <1% 148 125 $594.00
18 more codes
90688 <1% 130 $517.00
90698 <1% 51 $341.00
90680 <1% 56 $275.00
90633 <1% 38 $132.00
83655 <1% 18 $132.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 61 $115.50
96127 <1% 17 $19.20
99080 <1% 156 $0.17
S9451 Exercise classes, non-physician provider, per session <1% 836 $0.10
99499 <1% 218 $0.02
3008F <1% 1,977 $0.01
96160 0% 17 $0.00
90686 0% 60 $0.00
90656 0% 31 $0.00
90677 0% 59 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 16 $0.00
90697 0% 40 $0.00
H0049 Alcohol and/or drug screening 0% 19 $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.