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
PITTSBURGH, PA 15224
33aNPI1467728493assigned 03/23/2012
33bProvider typePediatric Gastroenterology Physician
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
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 | |
|---|---|---|---|
| 2021 | 94 | $16K | |
| 2022 | 169 | $29K | |
| 2023 | 248 | $39K | |
| 2024incomplete | 289 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.