Physician
Fox, Andrea
Fox, Andrea was paid $1.79M by Medicaid between Aug 2020 and Aug 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoFOX, ANDREA
PITTSBURGH, PA 15217
PITTSBURGH, PA 15217
33aNPI1447283304assigned 07/07/2006
33bProvider typeGeriatric Medicine (Internal Medicine) Physician
28Total paid$1.79M
24GClaims9,627
24DCodes billed7
24AFirst – last monthAug 2020 – Aug 2024
Compared with peers
Next to other Geriatric Medicine (Internal Medicine) Physician providers in Pennsylvania
Rank by total paid#1 of 47
Median peer was paid$14K
This provider vs. median127×
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 | 579 | $100K | |
| 2021 | 2,531 | $456K | |
| 2022 | 3,524 | $614K | |
| 2023 | 2,134 | $436K | |
| 2024incomplete | 859 | $185K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 9,179 | 8,513 | $1.79M |
| 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 | <1% | 126 | 120 | $215.00 |
| 91313 | 0% | 70 | 70 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 117 | 104 | $0.00 |
| 91306 | 0% | 104 | 104 | $0.00 | |
| 91301 | 0% | 12 | 12 | $0.00 | |
| 91305 | 0% | 19 | 18 | $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.