Physician
Coombs, Dale
Coombs, Dale was paid $582K by Medicaid between Jan 2018 and Aug 2023, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoCOOMBS, DALE
WARREN, PA 16365
WARREN, PA 16365
33aNPI1508848987assigned 11/18/2005
33bProvider typePediatrics Physician
28Total paid$582K
24GClaims21,419
24DCodes billed31
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#169 of 1,257
Median peer was paid$45K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2018 | 145 | $4K | |
| 2019 | 47 | $661.03 | |
| 2020 | 1,301 | $31K | |
| 2021 | 7,319 | $203K | |
| 2022 | 7,507 | $200K | |
| 2023 | 5,100 | $144K |
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 | 32% | 5,200 | 4,760 | $185K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 1,332 | 1,303 | $110K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 1,190 | 1,160 | $86K |
| 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 | 10% | 1,068 | 1,026 | $60K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.2% | 644 | 626 | $54K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.5% | 616 | 592 | $43K |
| 90670 | 1.3% | 566 | 566 | $8K | |
| 99173 | 1.1% | 2,499 | 2,440 | $7K | |
| 92551 | 1.0% | 2,407 | 2,355 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 486 | 476 | $3K |
| 90686 | <1% | 317 | 315 | $3K | |
| 90688 | <1% | 299 | 299 | $3K |
19 more codes
| 90680 | <1% | 257 | $3K | |
| 90698 | <1% | 224 | $2K | |
| 90633 | <1% | 229 | $2K | |
| 90697 | <1% | 175 | $2K | |
| 90619 | <1% | 127 | $1K | |
| 96161 | <1% | 277 | $1K | |
| 96160 | <1% | 1,098 | $927.64 | |
| 90715 | <1% | 80 | $854.29 | |
| 90744 | <1% | 37 | $406.00 | |
| 90710 | <1% | 39 | $396.00 | |
| 90696 | <1% | 38 | $374.00 | |
| 90651 | <1% | 36 | $330.00 | |
| 96127 | <1% | 750 | $321.91 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 708 | $202.77 |
| 90734 | <1% | 13 | $132.00 | |
| 81002 | <1% | 13 | $46.80 | |
| 80061 | Lipid panel | <1% | 383 | $5.00 |
| 83655 | 0% | 174 | $0.00 | |
| 86703 | 0% | 137 | $0.00 |
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.