Szentpetery, Sylvia

Szentpetery, Sylvia was paid $22K by Medicaid between Feb 2018 and Sep 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoSZENTPETERY, SYLVIA
CHARLESTON, SC 29425

33aNPI1396035424assigned 04/11/2011

33bProvider typePediatric Pulmonology Physician

28Total paid$22K

24GClaims466

24DCodes billed5

24AFirst – last monthFeb 2018 – Sep 2019

Compared with peers

Next to other Pediatric Pulmonology Physician providers in South Carolina

Rank by total paid#1 of 8

Median peer was paid$3K

This provider vs. median6.4×

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	395	$19K
2019	71	$3K

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	81%	225	222	$18K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.8%	14	14	$2K
94010		6.1%	176	173	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	13	13	$771.75
94375		2.6%	38	38	$571.28

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.