Physician
Kapp, Sydney
Kapp, Sydney was paid $51K by Medicaid between Aug 2021 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoKAPP, SYDNEY
CRANBERRY TOWNSHIP, PA 16066
CRANBERRY TOWNSHIP, PA 16066
33aNPI1285976464assigned 03/26/2013
33bProvider typePediatrics Physician
28Total paid$51K
24GClaims1,121
24DCodes billed14
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#604 of 1,257
Median peer was paid$45K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2021 | 122 | $7K | |
| 2022 | 140 | $6K | |
| 2023 | 368 | $17K | |
| 2024incomplete | 491 | $21K |
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 | 57% | 611 | 593 | $29K |
| 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 | 35% | 271 | 261 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 13 | 13 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 12 | 12 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 12 | 12 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | 13 | $274.78 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $163.26 |
| 96127 | <1% | 15 | 15 | $30.80 | |
| 96160 | <1% | 16 | 16 | $26.80 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 31 | 31 | $21.56 |
| G9920 | Screening performed and negative | 0% | 35 | 35 | $0.00 |
| 90661 | 0% | 18 | 18 | $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.