Physician
Hanley, Kristen
Hanley, Kristen was paid $589K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoHANLEY, KRISTEN
IRWIN, PA 15642
IRWIN, PA 15642
33aNPI1255535407assigned 06/12/2007
33bProvider typePediatrics Physician
28Total paid$589K
24GClaims13,034
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#168 of 1,257
Median peer was paid$45K
This provider vs. median13×
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 | 107 | $10K | |
| 2019 | 29 | $3K | |
| 2020 | 123 | $9K | |
| 2021 | 1,488 | $82K | |
| 2022 | 2,439 | $121K | |
| 2023 | 3,828 | $163K | |
| 2024incomplete | 5,020 | $200K |
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 | 57% | 4,509 | 4,221 | $337K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 827 | 826 | $74K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 734 | 734 | $70K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 402 | 401 | $38K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 189 | 186 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 328 | 320 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 628 | 612 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 243 | 240 | $9K |
| 87428 | 1.1% | 212 | 212 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 394 | 193 | $5K |
| 99051 | <1% | 134 | 134 | $4K | |
| 90686 | <1% | 339 | 331 | $1K |
18 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 44 | $849.20 |
| 96127 | <1% | 528 | $301.84 | |
| 96160 | <1% | 532 | $271.26 | |
| 92551 | <1% | 936 | $265.78 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 517 | $249.36 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 23 | $234.76 |
| 99177 | <1% | 123 | $147.72 | |
| 99173 | <1% | 358 | $83.74 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 272 | $0.00 |
| 96161 | 0% | 50 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90619 | 0% | 15 | $0.00 | |
| 90656 | 0% | 27 | $0.00 | |
| 90651 | 0% | 15 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 536 | $0.00 |
| 90661 | 0% | 46 | $0.00 | |
| 90648 | 0% | 24 | $0.00 | |
| 90670 | 0% | 37 | $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.