Physician
ST Mary Medical Center
ST Mary Medical Center was paid $156K by Medicaid between Jan 2018 and Jul 2021, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoST MARY MEDICAL CENTER
BENSALEM, PA 19020
BENSALEM, PA 19020
33aNPI1548491582assigned 08/06/2009
33bProvider typeObstetrics & Gynecology Physician
28Total paid$156K
24GClaims3,061
24DCodes billed13
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Pennsylvania
Rank by total paid#66 of 511
Median peer was paid$14K
This provider vs. median11×
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 | 719 | $27K | |
| 2019 | 813 | $24K | |
| 2020 | 390 | $23K | |
| 2021 | 1,139 | $83K |
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 | 75% | 1,841 | 1,555 | $118K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 22% | 476 | 459 | $34K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 160 | 147 | $2K |
| 90744 | <1% | 71 | 71 | $710.00 | |
| 90715 | <1% | 28 | 28 | $650.40 | |
| 90680 | <1% | 37 | 37 | $370.00 | |
| 90723 | <1% | 26 | 26 | $260.00 | |
| 90648 | <1% | 25 | 25 | $250.00 | |
| 90670 | <1% | 25 | 25 | $250.00 | |
| 90686 | <1% | 12 | 12 | $232.80 | |
| 99173 | <1% | 13 | 13 | $123.11 | |
| 96161 | <1% | 321 | 309 | $3.48 |
1 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 26 | $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.
From NPPES
Who's on the registration
Authorized officialSPALLUCCI, MARYANNE (SENIOR VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| ST Mary Medical Center | Langhorne, PA | $10.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.