Physician
Pokorney, Rachel
Pokorney, Rachel was paid $312K by Medicaid between Dec 2020 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoPOKORNEY, RACHEL
MONROEVILLE, PA 15146
MONROEVILLE, PA 15146
33aNPI1558637652assigned 03/23/2012
33bProvider typePediatrics Physician
28Total paid$312K
24GClaims8,149
24DCodes billed31
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#271 of 1,257
Median peer was paid$45K
This provider vs. median6.9×
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 | 64 | $2K | |
| 2021 | 1,377 | $50K | |
| 2022 | 1,652 | $73K | |
| 2023 | 2,685 | $100K | |
| 2024incomplete | 2,371 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 1,264 | 1,242 | $103K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 1,547 | 1,499 | $80K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 447 | 446 | $44K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 339 | 339 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 234 | 234 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 158 | 157 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 47 | 42 | $5K |
| 87428 | 1.3% | 128 | 127 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 217 | 216 | $3K |
| 90686 | <1% | 320 | 319 | $1K | |
| 99173 | <1% | 653 | 653 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 54 | 27 | $663.02 |
19 more codes
| 99051 | <1% | 15 | $465.24 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $461.16 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 388 | $198.61 |
| 90648 | <1% | 80 | $176.00 | |
| 90670 | <1% | 68 | $176.00 | |
| 92551 | <1% | 783 | $172.28 | |
| 96127 | <1% | 324 | $125.62 | |
| 96160 | <1% | 324 | $109.32 | |
| 99177 | <1% | 143 | $105.72 | |
| 85018 | <1% | 13 | $8.14 | |
| 80061 | Lipid panel | 0% | 16 | $0.00 |
| G9920 | Screening performed and negative | 0% | 232 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 120 | $0.00 |
| 90723 | 0% | 27 | $0.00 | |
| 96161 | 0% | 125 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90656 | 0% | 34 | $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.