Physician
Foulk, Brian
Foulk, Brian was paid $664K by Medicaid between Jun 2020 and Nov 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoFOULK, BRIAN
CHERRY TREE, PA 15724
CHERRY TREE, PA 15724
33aNPI1245262591assigned 07/07/2006
33bProvider typeFamily Medicine Physician
28Total paid$664K
24GClaims9,604
24DCodes billed11
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#97 of 2,756
Median peer was paid$19K
This provider vs. median35×
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 | |
|---|---|---|---|
| 2020 | 506 | $30K | |
| 2021 | 3,163 | $205K | |
| 2022 | 2,746 | $188K | |
| 2023 | 1,438 | $120K | |
| 2024incomplete | 1,751 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 3,874 | 3,522 | $663K |
| 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 | <1% | 1,083 | 1,059 | $200.14 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,935 | 1,807 | $125.00 |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 482 | 446 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 490 | 475 | $0.00 |
| 3008F | 0% | 1,548 | 1,449 | $0.00 | |
| 3074F | 0% | 55 | 55 | $0.00 | |
| 90686 | 0% | 22 | 12 | $0.00 | |
| 3079F | 0% | 13 | 13 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 14 | 13 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 88 | 82 | $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.