Spergel, Andrew

Spergel, Andrew was paid $73K by Medicaid between Nov 2020 and Dec 2024, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 68% of everything it billed.

33Billing provider infoSPERGEL, ANDREW
MONONGAHELA, PA 15063

33aNPI1528064268assigned 06/27/2005

33bProvider typeObstetrics & Gynecology Physician

28Total paid$73K

24GClaims4,152

24DCodes billed8

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Pennsylvania

Rank by total paid#105 of 511

Median peer was paid$14K

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
2020	14	$1K
2021	548	$20K
2022	1,093	$14K
2023	1,366	$21K
2024incomplete	1,131	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	68%	596	378	$50K
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	27%	340	284	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.6%	90	86	$3K
90686		<1%	19	12	$44.00
3078F		0%	1,266	1,066	$0.00
3079F		0%	247	220	$0.00
3074F		0%	1,581	1,296	$0.00
3008F		0%	13	13	$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.