Physician
Phillips, Stephen
Phillips, Stephen was paid $455K by Medicaid between Sep 2020 and Dec 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoPHILLIPS, STEPHEN
MECHANICSBURG, PA 17050
MECHANICSBURG, PA 17050
33aNPI1386629475assigned 12/12/2005
33bProvider typeFamily Medicine Physician
28Total paid$455K
24GClaims6,051
24DCodes billed12
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#146 of 2,756
Median peer was paid$19K
This provider vs. median24×
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 | $8K | |
| 2021 | 470 | $51K | |
| 2022 | 1,240 | $80K | |
| 2023 | 2,080 | $123K | |
| 2024incomplete | 2,181 | $193K |
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 | 100% | 2,569 | 2,351 | $455K |
| 3077F | 0% | 260 | 252 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 667 | 630 | $0.00 |
| 3078F | 0% | 458 | 439 | $0.00 | |
| 3079F | 0% | 500 | 481 | $0.00 | |
| 3074F | 0% | 668 | 640 | $0.00 | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 381 | 355 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 327 | 306 | $0.00 |
| 3075F | 0% | 32 | 31 | $0.00 | |
| 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 | 0% | 118 | 117 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 59 | 53 | $0.00 |
| 3080F | 0% | 12 | 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.