Physician
Spinell, Joseph
Spinell, Joseph was paid $79K by Medicaid between Jan 2018 and Nov 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 84% of everything it billed.
33Billing provider infoSPINELL, JOSEPH
HERSHEY, PA 17033
HERSHEY, PA 17033
33aNPI1265667596assigned 05/15/2009
33bProvider typeEmergency Medicine Physician
28Total paid$79K
24GClaims1,561
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#324 of 1,211
Median peer was paid$19K
This provider vs. median4.1×
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 | 639 | $31K | |
| 2019 | 566 | $29K | |
| 2020 | 356 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 84% | 1,091 | 1,006 | $66K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 12% | 215 | 195 | $10K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.0% | 84 | 78 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 171 | 164 | $599.32 |
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.