Caterbone, Philip

Caterbone, Philip was paid $34K by Medicaid between Jan 2022 and May 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.

33Billing provider infoCATERBONE, PHILIP
MC CONNELLSBURG, PA 17233

33aNPI1376620567assigned 11/01/2006

33bProvider typeFamily Medicine Physician

28Total paid$34K

24GClaims429

24DCodes billed7

24AFirst – last monthJan 2022 – May 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,109 of 2,756

Median peer was paid$19K

This provider vs. median1.8×

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
2022	368	$32K
2023	31	$1K
2024incomplete	30	$1K

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	93%	230	209	$32K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.7%	47	47	$2K
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	2.2%	14	12	$748.71
3078F		0%	33	32	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	27	25	$0.00
3074F		0%	52	50	$0.00
3079F		0%	26	26	$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.