Navarro, Emilio

Navarro, Emilio was paid $17K by Medicaid between Jan 2018 and Jan 2019, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoNAVARRO, EMILIO
MT PLEASANT, PA 15666

33aNPI1376648238assigned 09/14/2006

33bProvider typeFamily Medicine Physician

28Total paid$17K

24GClaims380

24DCodes billed3

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,425 of 2,756

Median peer was paid$19K

This provider vs. median0.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (10/20/2022).

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	351	$16K
2019	29	$2K

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	53%	102	99	$9K
S9088	Services provided in an urgent care center (list in addition to code for service)	46%	262	254	$8K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.3%	16	16	$231.26

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.