Physician
Caughey, Robert
Caughey, Robert was paid $127K by Medicaid between Nov 2020 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoCAUGHEY, ROBERT
ALTOONA, PA 16601
ALTOONA, PA 16601
33aNPI1265503197assigned 11/13/2006
28Total paid$127K
24GClaims3,122
24DCodes billed9
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers in Pennsylvania
Rank by total paid#2 of 5
Median peer was paid$33K
This provider vs. median3.8×
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 | 44 | $2K | |
| 2021 | 651 | $32K | |
| 2022 | 795 | $36K | |
| 2023 | 550 | $25K | |
| 2024incomplete | 1,082 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 1,525 | 1,448 | $56K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 567 | 563 | $34K |
| 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 | 12% | 287 | 277 | $15K |
| 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 | 11% | 149 | 148 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.3% | 225 | 217 | $7K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.1% | 14 | 14 | $1K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 111 | 108 | $0.00 |
| 1036F | 0% | 122 | 120 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 122 | 120 | $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.