Kropac, Robert

Kropac, Robert was paid $379K by Medicaid between Jan 2018 and Apr 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoKROPAC, ROBERT
PRINCETON, WV 24740

33aNPI1174628176assigned 09/14/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$379K

24GClaims6,288

24DCodes billed4

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in West Virginia

Rank by total paid#8 of 19

Median peer was paid$210K

This provider vs. median1.8×

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	1,205	$86K
2019	856	$50K
2020	1,840	$122K
2021	1,996	$95K
2022	391	$25K

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	52%	3,218	3,008	$195K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	2,131	2,017	$127K
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	13%	477	448	$48K
99442		2.1%	462	443	$8K

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.