Fornelli, Rick

Fornelli, Rick was paid $32K by Medicaid between Nov 2020 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoFORNELLI, RICK
ERIE, PA 16507

33aNPI1316998263assigned 05/15/2006

33bProvider typeOtolaryngology Physician

28Total paid$32K

24GClaims1,531

24DCodes billed8

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other Otolaryngology Physician providers in Pennsylvania

Rank by total paid#56 of 136

Median peer was paid$13K

This provider vs. median2.4×

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	39	$210.48
2021	308	$4K
2022	446	$4K
2023	328	$14K
2024incomplete	410	$10K

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	48%	528	514	$15K
99243		18%	74	74	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13%	92	92	$4K
95117		9.0%	529	426	$3K
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	3.9%	27	27	$1K
69210		3.4%	65	65	$1K
92567		2.5%	71	69	$808.41
95115		1.4%	145	117	$442.24

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.