Physician
Sarginger, Larry
Sarginger, Larry was paid $8K by Medicaid between Dec 2020 and Feb 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoSARGINGER, LARRY
KANE, PA 16735
KANE, PA 16735
33aNPI1417946849assigned 10/18/2005
33bProvider typeFamily Medicine Physician
28Total paid$8K
24GClaims953
24DCodes billed7
24AFirst – last monthDec 2020 – Feb 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,768 of 2,756
Median peer was paid$19K
This provider vs. median0.4×
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 | 15 | $577.50 | |
| 2021 | 76 | $3K | |
| 2022 | 331 | $2K | |
| 2023 | 461 | $2K | |
| 2024incomplete | 70 | $1K |
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 | 51% | 750 | 596 | $4K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 19% | 34 | 30 | $2K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 44 | 42 | $2K |
| G0008 | Administration of influenza virus vaccine | 4.3% | 44 | 44 | $352.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 3.5% | 14 | 14 | $288.83 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 45 | 40 | $185.95 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 22 | 13 | $116.50 |
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.