Rock, Ira
Rock, Ira was paid $30K by Medicaid between Feb 2021 and Dec 2024, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 56% of everything it billed.
33Billing provider infoROCK, IRA
SEVEN FIELDS, PA 16046
SEVEN FIELDS, PA 16046
33aNPI1184684029assigned 03/24/2006
33bProvider typeSpecialist
28Total paid$30K
24GClaims570
24DCodes billed4
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#213 of 543
Median peer was paid$16K
This provider vs. median1.9×
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
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 | |
|---|---|---|---|
| 2021 | 16 | $1K | |
| 2022 | 145 | $8K | |
| 2023 | 306 | $15K | |
| 2024incomplete | 103 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 56% | 202 | 179 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 319 | 315 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $264.00 |
| 81025 | <1% | 37 | 37 | $153.60 |
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.