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

Houm, Amy

Houm, Amy was paid $92K by Medicaid between Mar 2021 and Nov 2022, across 17 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 28% of everything it billed.

33Billing provider infoHOUM, AMY
HAZLE TOWNSHIP, PA 18202
33aNPI1255313292assigned 11/16/2005
33bProvider typePediatrics Physician
28Total paid$92K
24GClaims2,668
24DCodes billed17
24AFirst – last monthMar 2021 – Nov 2022
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#508 of 1,257
Median peer was paid$45K
This provider vs. median2.0×

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$10K2018201920202021202220232024
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
2021893$35K
20221,775$57K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 28% 319 312 $25K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 18% 182 181 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17% 168 168 $16K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 362 350 $13K
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 11% 185 172 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.0% 30 30 $3K
90670 2.8% 225 223 $3K
90686 2.4% 215 214 $2K
90723 1.8% 161 159 $2K
90680 1.4% 121 119 $1K
90647 <1% 76 76 $784.50
G0008 Administration of influenza virus vaccine <1% 12 12 $123.60
5 more codes
92551 <1% 353 $8.24
96127 <1% 43 $4.12
99173 0% 142 $0.00
99177 0% 24 $0.00
83655 0% 50 $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.