Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Davis, Andrea

Davis, Andrea was paid $178K by Medicaid between Nov 2020 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoDAVIS, ANDREA
NEW CASTLE, PA 16101
33aNPI1205299625assigned 04/02/2016
33bProvider typePediatrics Physician
28Total paid$178K
24GClaims4,889
24DCodes billed19
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#366 of 1,257
Median peer was paid$45K
This provider vs. median3.9×

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
202042$243.00
2021775$28K
2022876$30K
20231,002$37K
2024incomplete2,194$83K
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 45% 1,728 1,655 $81K
99051 26% 1,659 1,572 $46K
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 19% 467 448 $33K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.0% 96 94 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.8% 256 252 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.7% 263 129 $3K
87428 1.6% 107 106 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.5% 28 28 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 15 15 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 14 14 $1K
90686 <1% 35 31 $319.00
99188 <1% 15 15 $297.00
7 more codes
90648 <1% 12 $133.00
90723 <1% 12 $132.00
90670 <1% 12 $132.00
92551 <1% 63 $104.00
96127 0% 12 $0.00
96160 0% 12 $0.00
99177 0% 83 $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.