Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Critelli, Kristen

Critelli, Kristen was paid $123K by Medicaid between Mar 2021 and Nov 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 83% of everything it billed.

33Billing provider infoCRITELLI, KRISTEN
PITTSBURGH, PA 15224
33aNPI1467728493assigned 03/23/2012
28Total paid$123K
24GClaims800
24DCodes billed5
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Pennsylvania

Rank by total paid#6 of 22
Median peer was paid$51K
This provider vs. median2.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
202194$16K
2022169$29K
2023248$39K
2024incomplete289$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 83% 681 678 $102K
99244 Office or other outpatient consultation, moderate to high complexity 5.2% 29 28 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4.7% 28 28 $6K
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 4.2% 44 43 $5K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.5% 18 12 $3K

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.