Whelan, Rachel

Whelan, Rachel was paid $83K by Medicaid between Oct 2021 and Dec 2024, across 6 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 72% of everything it billed.

33Billing provider infoWHELAN, RACHEL
PITTSBURGH, PA 15213

33aNPI1407266737assigned 05/08/2014

33bProvider typeOtolaryngology Physician

28Total paid$83K

24GClaims912

24DCodes billed6

24AFirst – last monthOct 2021 – Dec 2024

Compared with peers

Next to other Otolaryngology Physician providers in Pennsylvania

Rank by total paid#33 of 136

Median peer was paid$13K

This provider vs. median6.2×

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
2021	45	$6K
2022	121	$13K
2023	219	$21K
2024incomplete	527	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99244	Office or other outpatient consultation, moderate to high complexity	72%	511	506	$60K
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	17%	279	277	$14K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	5.7%	43	43	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.1%	50	50	$2K
99243		1.6%	17	17	$1K
31575		<1%	12	12	$788.98

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.