Physician
Maroon, Thomas
Maroon, Thomas was paid $170K by Medicaid between Jan 2018 and Aug 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoMAROON, THOMAS
GREENSBURG, PA 15601
GREENSBURG, PA 15601
33aNPI1245228659assigned 10/10/2005
33bProvider typePediatrics Physician
28Total paid$170K
24GClaims2,861
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#377 of 1,257
Median peer was paid$45K
This provider vs. median3.7×
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 | 97 | $9K | |
| 2019 | 15 | $2K | |
| 2020 | 49 | $3K | |
| 2021 | 595 | $37K | |
| 2022 | 823 | $49K | |
| 2023 | 1,143 | $60K | |
| 2024incomplete | 139 | $10K |
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 | 67% | 1,455 | 1,418 | $113K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 906 | 892 | $45K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 36 | 36 | $3K |
| 99051 | 1.5% | 92 | 90 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 30 | 30 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 91 | 91 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | 12 | $499.59 |
| 90686 | <1% | 27 | 27 | $143.00 | |
| 96127 | <1% | 54 | 54 | $30.80 | |
| 96160 | <1% | 54 | 54 | $26.80 | |
| 92551 | 0% | 51 | 51 | $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.