Physician
Brophy, Charles
Brophy, Charles was paid $197K by Medicaid between Nov 2020 and Nov 2024, across 8 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 56% of everything it billed.
33Billing provider infoBROPHY, CHARLES
LYNDORA, PA 16045
LYNDORA, PA 16045
33aNPI1245429869assigned 10/19/2007
33bProvider typeEmergency Medicine Physician
28Total paid$197K
24GClaims2,240
24DCodes billed8
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#145 of 1,211
Median peer was paid$19K
This provider vs. median10×
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 | 94 | $3K | |
| 2021 | 519 | $21K | |
| 2022 | 1,280 | $145K | |
| 2023 | 224 | $17K | |
| 2024incomplete | 123 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 56% | 400 | 399 | $110K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,041 | 801 | $36K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 431 | 424 | $32K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 57 | 57 | $5K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.2% | 112 | 106 | $4K |
| 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 | 2.1% | 74 | 56 | $4K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.0% | 84 | 83 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 41 | 38 | $536.18 |
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.