Physician
Butler Medical Providers
Butler Medical Providers was paid $293K by Medicaid between Sep 2020 and Aug 2024, across 7 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 45% of everything it billed.
33Billing provider infoBUTLER MEDICAL PROVIDERS
BUTLER, PA 16001
BUTLER, PA 16001
33aNPI1487149381assigned 06/25/2018
33bProvider typePsychiatry Physician
28Total paid$293K
24GClaims10,218
24DCodes billed7
24AFirst – last monthSep 2020 – Aug 2024
Compared with peers
Next to other Psychiatry Physician providers in Pennsylvania
Rank by total paid#52 of 244
Median peer was paid$30K
This provider vs. median9.8×
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 | 1,190 | $24K | |
| 2021 | 5,210 | $159K | |
| 2022 | 570 | $21K | |
| 2023 | 1,809 | $68K | |
| 2024incomplete | 1,439 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 45% | 4,496 | 959 | $131K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 32% | 3,890 | 1,140 | $92K |
| 99222 | Initial hospital care, per day, moderate complexity | 14% | 853 | 806 | $40K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.8% | 718 | 658 | $20K |
| 99223 | Prolong inpt eval add15 m | 2.2% | 188 | 184 | $7K |
| 99221 | <1% | 33 | 30 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 40 | 17 | $1K |
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.
From NPPES
Who's on the registration
Authorized officialALLEN, KAREN (PRESIDENT BUTLER/CLARION)
| Provider | Location | Paid |
|---|---|---|
| Luminosity Behavioral Health Services INC | Brockton, MA | $26.57M |
| The Carousel Adult Day Care LLC | Kansas City, MO | $3.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.