Physician
Confer, Elaine
Confer, Elaine was paid $2.15M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoCONFER, ELAINE
JOHNSTOWN, PA 15904
JOHNSTOWN, PA 15904
33aNPI1245218833assigned 01/04/2006
33bProvider typePediatrics Physician
28Total paid$2.15M
24GClaims66,292
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#39 of 1,257
Median peer was paid$45K
This provider vs. median47×
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 | 1,712 | $89K | |
| 2019 | 368 | $22K | |
| 2020 | 3,100 | $88K | |
| 2021 | 13,062 | $358K | |
| 2022 | 14,475 | $459K | |
| 2023 | 16,990 | $556K | |
| 2024incomplete | 16,585 | $576K |
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 | 26% | 7,923 | 7,145 | $552K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 8,301 | 7,571 | $373K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 2,734 | 2,693 | $263K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,365 | 2,330 | $244K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.4% | 2,074 | 2,046 | $201K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 1,705 | 1,666 | $166K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 1,823 | 1,737 | $62K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 5,272 | 5,132 | $41K |
| 99173 | 1.5% | 5,853 | 5,758 | $33K | |
| 99188 | 1.4% | 1,348 | 1,332 | $30K | |
| 92551 | 1.3% | 5,528 | 5,440 | $27K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 509 | 498 | $20K |
48 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 742 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,165 | $10K |
| 90686 | <1% | 1,522 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 381 | $8K |
| 83655 | <1% | 1,265 | $8K | |
| 99177 | <1% | 1,135 | $7K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 156 | $6K |
| 90633 | <1% | 840 | $5K | |
| 90651 | <1% | 522 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 43 | $4K |
| 90680 | <1% | 740 | $4K | |
| 96161 | <1% | 872 | $4K | |
| 90670 | <1% | 704 | $4K | |
| 99401 | <1% | 274 | $4K | |
| 90698 | <1% | 434 | $4K | |
| 90677 | <1% | 280 | $3K | |
| 0002A | <1% | 83 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | $3K |
| 90697 | <1% | 605 | $3K | |
| 0071A | <1% | 60 | $2K | |
| 92558 | <1% | 328 | $2K | |
| 96127 | <1% | 2,301 | $2K | |
| 0001A | <1% | 83 | $2K | |
| 0072A | <1% | 43 | $2K | |
| 90619 | <1% | 400 | $2K | |
| 90672 | <1% | 243 | $2K | |
| 90661 | <1% | 186 | $1K | |
| 90734 | <1% | 166 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 13 | $1K |
| 90744 | <1% | 130 | $1K | |
| 85018 | <1% | 431 | $984.58 | |
| 90715 | <1% | 134 | $950.00 | |
| 90710 | <1% | 85 | $750.00 | |
| 81002 | <1% | 174 | $745.51 | |
| 96160 | <1% | 2,320 | $736.91 | |
| 90461 | <1% | 13 | $659.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 63 | $428.75 |
| 80061 | Lipid panel | <1% | 703 | $216.04 |
| 90696 | <1% | 60 | $162.50 | |
| 90707 | <1% | 32 | $150.00 | |
| 99072 | <1% | 85 | $103.25 | |
| 91300 | <1% | 301 | $0.96 | |
| G9920 | Screening performed and negative | <1% | 220 | $0.01 |
| 90620 | 0% | 33 | $0.00 | |
| 91307 | 0% | 127 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90671 | 0% | 306 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 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.