Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Nachreiner, Andrea

Nachreiner, Andrea was paid $1.03M by Medicaid between Nov 2020 and Dec 2024, across 48 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoNACHREINER, ANDREA
PITTSBURGH, PA 15227
33aNPI1356703649assigned 03/24/2016
33bProvider typePediatrics Physician
28Total paid$1.03M
24GClaims27,005
24DCodes billed48
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#96 of 1,257
Median peer was paid$45K
This provider vs. median23×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2020285$15K
20212,768$132K
20224,640$194K
20239,006$321K
2024incomplete10,306$366K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 39% 4,977 4,693 $400K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 4,010 3,797 $204K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.2% 1,073 1,058 $95K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.1% 1,089 1,088 $94K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.1% 749 749 $63K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.5% 405 402 $36K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3.2% 886 874 $33K
99051 3.1% 1,151 1,138 $32K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.3% 1,600 1,559 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.7% 1,368 684 $17K
87428 1.4% 402 395 $14K
99188 <1% 334 334 $6K
36 more codes
99215 Doctor's office visit, returning patient (complex) <1% 16 $2K
90686 <1% 443 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 59 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 20 $800.00
90460 Immunization administration through 18 years of age via any route, first or only component <1% 22 $683.10
90670 <1% 406 $671.00
90648 <1% 729 $640.00
90723 <1% 567 $517.00
92551 <1% 770 $354.76
96127 <1% 615 $330.44
81002 <1% 87 $301.33
99177 <1% 424 $249.51
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 492 $229.42
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 22 $220.00
90680 <1% 400 $210.13
96160 <1% 578 $194.89
90734 <1% 17 $192.00
90715 <1% 51 $144.00
90651 <1% 149 $132.00
90633 <1% 256 $132.00
99173 <1% 211 $78.08
85018 <1% 55 $37.98
96161 0% 713 $0.00
90696 0% 53 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 214 $0.00
90677 0% 337 $0.00
90656 0% 107 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 37 $0.00
90619 0% 70 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 60 $0.00
90716 0% 12 $0.00
90620 0% 36 $0.00
G9920 Screening performed and negative 0% 729 $0.00
90710 0% 58 $0.00
90661 0% 134 $0.00
90700 0% 12 $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.