Copenhaver, Steven

Copenhaver, Steven was paid $110K by Medicaid between Oct 2020 and Dec 2021, across 8 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 69% of everything it billed.

33Billing provider infoCOPENHAVER, STEVEN
DALLAS, TX 75230

33aNPI1396784518assigned 06/05/2006

33bProvider typePediatric Pulmonology Physician

28Total paid$110K

24GClaims2,487

24DCodes billed8

24AFirst – last monthOct 2020 – Dec 2021

Compared with peers

Next to other Pediatric Pulmonology Physician providers in Texas

Rank by total paid#4 of 11

Median peer was paid$94K

This provider vs. median1.2×

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	345	$15K
2021	2,142	$94K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	69%	1,172	330	$76K
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	18%	498	478	$20K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	7.5%	186	165	$8K
94375		3.4%	135	131	$4K
99255		2.0%	14	14	$2K
94760		<1%	362	347	$490.22
99417	Prolong home eval add 15m	<1%	57	43	$176.89
A4617	Mouth piece	<1%	63	62	$2.54

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.