Physician
Duncan, Sarah
Duncan, Sarah was paid $48K by Medicaid between Nov 2020 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.
33Billing provider infoDUNCAN, SARAH
CECIL, PA 15321
CECIL, PA 15321
33aNPI1467411439assigned 03/20/2006
33bProvider typeFamily Medicine Physician
28Total paid$48K
24GClaims2,755
24DCodes billed13
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#949 of 2,756
Median peer was paid$19K
This provider vs. median2.5×
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 | 119 | $3K | |
| 2021 | 738 | $14K | |
| 2022 | 417 | $9K | |
| 2023 | 742 | $13K | |
| 2024incomplete | 739 | $9K |
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 | 95% | 1,271 | 1,235 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 38 | 24 | $1K |
| 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 | 1.3% | 13 | 13 | $628.99 |
| 90686 | <1% | 60 | 46 | $253.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 15 | 15 | $184.72 |
| 3078F | 0% | 47 | 46 | $0.00 | |
| 99499 | 0% | 14 | 14 | $0.00 | |
| 1000F | 0% | 159 | 157 | $0.00 | |
| 3008F | 0% | 976 | 960 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 73 | 71 | $0.00 |
| 3079F | 0% | 15 | 15 | $0.00 | |
| 3074F | 0% | 58 | 57 | $0.00 |
1 more codes
| H0001 | Alcohol and/or drug assessment | 0% | 16 | $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.