Dominy, Larissa

Dominy, Larissa was paid $38K by Medicaid between Oct 2018 and Feb 2022, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoDOMINY, LARISSA
COLLEGEVILLE, PA 19426

33aNPI1376575282assigned 07/07/2006

33bProvider typePediatrics Physician

28Total paid$38K

24GClaims1,863

24DCodes billed10

24AFirst – last monthOct 2018 – Feb 2022

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#663 of 1,257

Median peer was paid$45K

This provider vs. median0.8×

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
2018	15	$444.40
2019	57	$913.70
2020	31	$520.20
2021	1,448	$29K
2022	312	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	52%	239	216	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	197	178	$11K
90460	Immunization administration through 18 years of age via any route, first or only component	8.5%	434	333	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.8%	15	14	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.1%	153	150	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	16	15	$477.13
90686		<1%	33	28	$266.42
90461		<1%	126	58	$202.62
99072		<1%	591	487	$98.55
99051		<1%	59	57	$63.00

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.