Barrera Pena, Fabio

Barrera Pena, Fabio was paid $158K by Medicaid between Jan 2020 and May 2022, across 8 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 42% of everything it billed.

33Billing provider infoBARRERA PENA, FABIO
PITTSBURGH, PA 15212

33aNPI1487038105assigned 07/13/2015

33bProvider typeHospitalist Physician

28Total paid$158K

24GClaims8,074

24DCodes billed8

24AFirst – last monthJan 2020 – May 2022

Compared with peers

Next to other Hospitalist Physician providers in Pennsylvania

Rank by total paid#10 of 130

Median peer was paid$4K

This provider vs. median41×

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	2,553	$39K
2021	3,348	$70K
2022	2,173	$49K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	42%	3,584	748	$66K
99308	Subsequent nursing facility care, per day, straightforward	22%	2,302	577	$35K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	22%	1,491	319	$34K
99306	Prolong nursin fac eval 15m	13%	532	509	$20K
99310	Prolong nursin fac eval 15m	<1%	112	36	$1K
99304		<1%	21	16	$636.90
99316		<1%	14	13	$223.29
99307		<1%	18	16	$107.68

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.