Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Pittsburgh › NPI 1477553766
Physician

Draper, Randall

Draper, Randall was paid $771K by Medicaid between Oct 2018 and May 2024, across 8 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 78% of everything it billed.

33Billing provider infoDRAPER, RANDALL
PITTSBURGH, PA 15237
33aNPI1477553766assigned 07/28/2005
33bProvider typeSurgery Physician
28Total paid$771K
24GClaims6,033
24DCodes billed8
24AFirst – last monthOct 2018 – May 2024
Compared with peers

Next to other Surgery Physician providers in Pennsylvania

Rank by total paid#11 of 190
Median peer was paid$3K
This provider vs. median231×

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$10K$20K$30K2018201920202021202220232024
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
2018132$0.00
2020180$16K
20211,663$227K
20221,590$212K
20231,756$234K
2024incomplete712$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G9012 Other specified case management service not elsewhere classified 78% 2,178 2,178 $598K
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 9.3% 1,366 1,157 $72K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.6% 1,320 1,165 $51K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 3.4% 619 552 $26K
G9008 Coordinated care fee, physician coordinated care oversight services 2.6% 117 117 $20K
80305 <1% 282 254 $3K
96127 <1% 19 19 $76.28
99340 0% 132 27 $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.