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

Wilson, Kevin

Wilson, Kevin was paid $345K by Medicaid between Oct 2021 and Dec 2024, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.

33Billing provider infoWILSON, KEVIN
PUNXSUTAWNEY, PA 15767
33aNPI1386965812assigned 06/18/2010
28Total paid$345K
24GClaims3,005
24DCodes billed14
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#213 of 2,756
Median peer was paid$19K
This provider vs. median18×

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$10K$20K2018201920202021202220232024
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
202195$12K
2022611$88K
20231,102$128K
2024incomplete1,197$117K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 89% 1,928 1,781 $306K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.2% 350 322 $11K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.0% 114 114 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.9% 119 119 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.1% 51 49 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 29 29 $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 <1% 16 16 $550.97
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 16 16 $416.40
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 32 16 $393.01
92551 <1% 130 130 $304.02
99173 <1% 118 118 $157.00
96127 <1% 30 30 $22.00
2 more codes
96160 <1% 60 $20.11
96110 Developmental screening, with scoring and documentation, per standardized instrument 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.