Boules, Sylvia
Boules, Sylvia was paid $104K by Medicaid between Feb 2022 and Mar 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.
33Billing provider infoBOULES, SYLVIA
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
33aNPI1407144553assigned 07/11/2011
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$104K
24GClaims654
24DCodes billed2
24AFirst – last monthFeb 2022 – Mar 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Pennsylvania
Rank by total paid#77 of 651
Median peer was paid$8K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2022 | 196 | $19K | |
| 2023 | 372 | $68K | |
| 2024incomplete | 86 | $17K |
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 | 94% | 608 | 560 | $97K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 46 | 42 | $7K |
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.