NP / PA
Defelice, Mary
Defelice, Mary was paid $35K by Medicaid between Feb 2024 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoDEFELICE, MARY
BUTLER, PA 16001
BUTLER, PA 16001
33aNPI1497367650assigned 08/19/2020
33bProvider typeNurse Practitioner
28Total paid$35K
24GClaims988
24DCodes billed5
24AFirst – last monthFeb 2024 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#90 of 372
Median peer was paid$7K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2024incomplete | 988 | $35K |
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 | 48% | 376 | 374 | $17K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 38% | 432 | 430 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 44 | 44 | $2K |
| 87428 | 4.6% | 53 | 53 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 83 | 83 | $903.14 |
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.