NP / PA
Sparinga, Rachel
Sparinga, Rachel was paid $309K by Medicaid between Jan 2020 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSPARINGA, RACHEL
JEFFERSON HILLS, PA 15025
JEFFERSON HILLS, PA 15025
33aNPI1134552482assigned 08/09/2013
33bProvider typeFamily Nurse Practitioner
28Total paid$309K
24GClaims7,977
24DCodes billed9
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#55 of 1,075
Median peer was paid$8K
This provider vs. median37×
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 | 233 | $8K | |
| 2021 | 1,617 | $60K | |
| 2022 | 2,261 | $90K | |
| 2023 | 2,637 | $102K | |
| 2024incomplete | 1,229 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 2,488 | 2,443 | $125K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 33% | 3,262 | 3,207 | $103K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 9.0% | 833 | 819 | $28K |
| 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 | 6.1% | 265 | 264 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.9% | 202 | 201 | $15K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.7% | 265 | 260 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 321 | 310 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 328 | 317 | $4K |
| 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 | <1% | 13 | 13 | $2K |
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.