Buffington, Douglas

Buffington, Douglas was paid $95K by Medicaid between Nov 2020 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoBUFFINGTON, DOUGLAS
ELYSBURG, PA 17824

33aNPI1346280088assigned 06/08/2006

33bProvider typeFamily Medicine Physician

28Total paid$95K

24GClaims2,505

24DCodes billed7

24AFirst – last monthNov 2020 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#648 of 2,756

Median peer was paid$19K

This provider vs. median4.9×

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	80	$3K
2021	606	$21K
2022	491	$17K
2023	820	$30K
2024incomplete	508	$23K

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	56%	1,529	1,364	$53K
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	43%	793	732	$41K
80061	Lipid panel	1.2%	79	79	$1K
80053	Comprehensive metabolic panel	<1%	13	13	$153.08
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	14	14	$79.96
99490	Ccm add 20min	<1%	24	24	$28.34
G9920	Screening performed and negative	0%	53	52	$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.