Physician
E&m Healthcare
E&m Healthcare was paid $2.56M by Medicaid between Sep 2020 and Dec 2024, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoE&M HEALTHCARE
PHILA, PA 19149
PHILA, PA 19149
33aNPI1437781853assigned 02/05/2020
33bProvider typePediatrics Physician
28Total paid$2.56M
24GClaims80,434
24DCodes billed71
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#30 of 1,257
Median peer was paid$45K
This provider vs. median56×
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 | 6,702 | $157K | |
| 2021 | 13,490 | $373K | |
| 2022 | 25,527 | $646K | |
| 2023 | 18,924 | $748K | |
| 2024incomplete | 15,791 | $637K |
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 | 25% | 7,946 | 7,388 | $638K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 3,183 | 3,079 | $377K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 5,634 | 5,325 | $317K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 2,629 | 2,542 | $289K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 2,506 | 2,375 | $269K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.9% | 1,991 | 1,929 | $227K |
| 92552 | 2.6% | 2,817 | 2,634 | $66K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 5,060 | 3,209 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 875 | 847 | $33K |
| S9470 | Nutritional counseling, dietitian visit | 1.2% | 1,941 | 1,922 | $31K |
| S9451 | Exercise classes, non-physician provider, per session | 1.1% | 1,217 | 1,215 | $29K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,068 | 2,751 | $26K |
59 more codes
| Q3014 | Telehealth originating site facility fee | <1% | 931 | $16K |
| 90686 | <1% | 2,368 | $14K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 108 | $14K |
| 99381 | <1% | 120 | $13K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 348 | $12K |
| 99188 | <1% | 866 | $11K | |
| 90648 | <1% | 1,874 | $11K | |
| 96127 | <1% | 2,021 | $8K | |
| 90670 | <1% | 1,531 | $7K | |
| 99173 | <1% | 3,040 | $7K | |
| 90723 | <1% | 1,250 | $7K | |
| 0071A | <1% | 155 | $6K | |
| 99050 | <1% | 162 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 542 | $6K |
| 90633 | <1% | 1,010 | $5K | |
| 0072A | <1% | 132 | $5K | |
| 90677 | <1% | 587 | $5K | |
| 90619 | <1% | 260 | $5K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 347 | $4K |
| 92551 | <1% | 466 | $4K | |
| 99177 | <1% | 457 | $4K | |
| 96160 | <1% | 1,605 | $4K | |
| 90651 | <1% | 680 | $3K | |
| 90656 | <1% | 344 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $3K |
| 0001A | <1% | 76 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 23 | $3K |
| 90461 | <1% | 726 | $3K | |
| 90620 | <1% | 284 | $2K | |
| 90734 | <1% | 431 | $2K | |
| 96161 | <1% | 1,014 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 180 | $2K |
| 90681 | <1% | 519 | $2K | |
| 90707 | <1% | 325 | $2K | |
| 0002A | <1% | 37 | $1K | |
| 99383 | <1% | 12 | $1K | |
| 90716 | <1% | 348 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 292 | $1K |
| 90480 | <1% | 32 | $800.00 | |
| 90715 | <1% | 239 | $721.81 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 31 | $692.78 |
| 36415 | Collection of venous blood by venipuncture | <1% | 455 | $421.95 |
| 90696 | <1% | 190 | $411.22 | |
| 90700 | <1% | 175 | $397.04 | |
| 88738 | <1% | 108 | $368.09 | |
| 99080 | <1% | 12 | $324.00 | |
| 90697 | <1% | 33 | $297.78 | |
| 99051 | <1% | 243 | $275.00 | |
| 90710 | <1% | 145 | $184.34 | |
| 99072 | <1% | 10,238 | $183.96 | |
| 90685 | <1% | 70 | $155.98 | |
| 83655 | <1% | 288 | $50.00 | |
| 80061 | Lipid panel | <1% | 150 | $25.00 |
| 81002 | <1% | 12 | $11.25 | |
| 87070 | <1% | 38 | $5.60 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 3,405 | $3.50 |
| 91307 | 0% | 110 | $0.00 | |
| 85018 | 0% | 48 | $0.00 | |
| 85013 | 0% | 49 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialCOULSON, DENISE (SR PRACTICE ADMIN)