Physician
Fullerton, Timothy
Fullerton, Timothy was paid $373K by Medicaid between Oct 2020 and Nov 2024, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoFULLERTON, TIMOTHY
MERCER, PA 16137
MERCER, PA 16137
33aNPI1295964195assigned 07/13/2009
33bProvider typeFamily Medicine Physician
28Total paid$373K
24GClaims4,159
24DCodes billed8
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#196 of 2,756
Median peer was paid$19K
This provider vs. median19×
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 | 221 | $20K | |
| 2021 | 1,071 | $102K | |
| 2022 | 1,133 | $99K | |
| 2023 | 824 | $74K | |
| 2024incomplete | 910 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 1,977 | 1,899 | $372K |
| 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 | <1% | 1,022 | 998 | $239.44 |
| G9920 | Screening performed and negative | 0% | 19 | 19 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 389 | 381 | $0.00 |
| 3008F | 0% | 484 | 470 | $0.00 | |
| 90686 | 0% | 28 | 16 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 41 | 41 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 199 | 188 | $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.