Butler Medical Providers

Butler Medical Providers was paid $23K by Medicaid between Jan 2018 and Dec 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.

33Billing provider infoBUTLER MEDICAL PROVIDERS
BUTLER, PA 16001

33aNPI1407229198assigned 11/04/2015

33bProvider typeFamily Medicine Physician

28Total paid$23K

24GClaims1,845

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,315 of 2,756

Median peer was paid$19K

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
2018	1,475	$17K
2019	370	$6K

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	78%	1,306	1,260	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	398	375	$4K
99309	Subsequent nursing facility care, per day, low to moderate complexity	2.3%	71	66	$514.74
99308	Subsequent nursing facility care, per day, straightforward	2.1%	56	55	$478.52
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	14	12	$52.03

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.

From NPPES

Who's on the registration

Authorized officialKREBS, ANNE (CFO)