Demetriou, Theodore

Demetriou, Theodore was paid $8K by Medicaid between Nov 2020 and Apr 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoDEMETRIOU, THEODORE
READING, PA 19601

33aNPI1417186057assigned 07/03/2009

33bProvider typeHospitalist Physician

28Total paid$8K

24GClaims89

24DCodes billed4

24AFirst – last monthNov 2020 – Apr 2023

Compared with peers

Next to other Hospitalist Physician providers in Pennsylvania

Rank by total paid#51 of 130

Median peer was paid$4K

This provider vs. median2.0×

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	35	$3K
2021	27	$3K
2023	27	$909.75

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	61%	48	46	$5K
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	28%	14	12	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	10%	15	15	$813.75
92551		1.2%	12	12	$96.00

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.