Physician
English, Robert
English, Robert was paid $85K by Medicaid between Nov 2020 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoENGLISH, ROBERT
SMITHFIELD, PA 15478
SMITHFIELD, PA 15478
33aNPI1447237680assigned 12/29/2005
33bProvider typeDermatology Physician
28Total paid$85K
24GClaims3,546
24DCodes billed9
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Dermatology Physician providers in Pennsylvania
Rank by total paid#26 of 97
Median peer was paid$26K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2020 | 126 | $3K | |
| 2021 | 1,100 | $28K | |
| 2022 | 887 | $20K | |
| 2023 | 832 | $20K | |
| 2024incomplete | 601 | $14K |
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 | 42% | 1,545 | 1,489 | $35K |
| 11102 | 28% | 927 | 908 | $24K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 303 | 302 | $15K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 4.6% | 104 | 102 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 230 | 224 | $4K |
| 17000 | 3.4% | 337 | 332 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 19 | 19 | $660.62 |
| 17003 | <1% | 56 | 55 | $23.40 | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 25 | 24 | $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.