Himmelsbach, Alan

Himmelsbach, Alan was paid $4K by Medicaid between Jun 2023 and Sep 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoHIMMELSBACH, ALAN
SUGARLOAF, PA 18249

33aNPI1487624367assigned 01/24/2006

33bProvider typeNurse Practitioner

28Total paid$4K

24GClaims122

24DCodes billed3

24AFirst – last monthJun 2023 – Sep 2024

Compared with peers

Next to other Nurse Practitioner providers in Pennsylvania

Rank by total paid#220 of 372

Median peer was paid$7K

This provider vs. median0.6×

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
2023	50	$2K
2024incomplete	72	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	61%	83	78	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	31%	27	26	$1K
11102		8.2%	12	12	$354.50

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.