Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Specialty Physician Associates, LLC

Specialty Physician Associates, LLC was paid $243K by Medicaid between Jan 2021 and Dec 2024, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 29% of everything it billed.

33Billing provider infoSPECIALTY PHYSICIAN ASSOCIATES, LLC
BETHLEHEM, PA 18017
33aNPI1487960639assigned 08/26/2010
28Total paid$243K
24GClaims5,770
24DCodes billed9
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers

Next to other Otolaryngic Allergy Physician providers in Pennsylvania

Rank by total paid#3 of 12
Median peer was paid$63K
This provider vs. median3.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
2021475$23K
20221,630$81K
20231,924$84K
2024incomplete1,741$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29% 1,217 1,201 $70K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 23% 1,296 1,283 $55K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 1,107 1,050 $36K
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 14% 708 651 $35K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13% 352 350 $32K
94010 2.8% 466 442 $7K
95117 1.5% 478 181 $4K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.3% 39 37 $3K
92567 <1% 107 107 $977.95

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 officialYEN, DAVID (OWNER/PRESIDENT)