Physician
Rutkowski, Robert
Rutkowski, Robert was paid $700K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoRUTKOWSKI, ROBERT
MOON TWP, PA 15108
MOON TWP, PA 15108
33aNPI1124021985assigned 05/24/2005
33bProvider typePediatrics Physician
28Total paid$700K
24GClaims17,114
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#137 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 | 418 | $30K | |
| 2019 | 157 | $10K | |
| 2020 | 359 | $20K | |
| 2021 | 2,450 | $100K | |
| 2022 | 4,483 | $178K | |
| 2023 | 5,790 | $217K | |
| 2024incomplete | 3,457 | $146K |
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 | 37% | 3,445 | 3,344 | $257K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 4,542 | 4,396 | $216K |
| 99051 | 19% | 4,607 | 4,464 | $131K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.5% | 475 | 470 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 1,160 | 1,147 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 138 | 138 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 134 | 134 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 104 | 104 | $10K |
| 87428 | 1.4% | 327 | 323 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 688 | 342 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 59 | 53 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 37 | 37 | $3K |
15 more codes
| 99173 | <1% | 58 | $125.00 | |
| 96127 | <1% | 223 | $119.68 | |
| 96160 | <1% | 223 | $104.14 | |
| 92551 | <1% | 281 | $58.40 | |
| 80061 | Lipid panel | <1% | 42 | $24.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 92 | $21.56 |
| 99177 | <1% | 134 | $21.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 74 | $0.00 |
| 90686 | 0% | 120 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 96161 | 0% | 15 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 86 | $0.00 |
| 90670 | 0% | 13 | $0.00 | |
| 90648 | 0% | 13 | $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.