Physician
Hoffman, Stephen
Hoffman, Stephen was paid $645K by Medicaid between Sep 2020 and Oct 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoHOFFMAN, STEPHEN
MC CONNELLSBURG, PA 17233
MC CONNELLSBURG, PA 17233
33aNPI1568482867assigned 07/20/2006
33bProvider typeGeneral Practice Physician
28Total paid$645K
24GClaims12,563
24DCodes billed16
24AFirst – last monthSep 2020 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Pennsylvania
Rank by total paid#4 of 57
Median peer was paid$29K
This provider vs. median22×
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 | 324 | $14K | |
| 2021 | 1,641 | $75K | |
| 2022 | 3,089 | $145K | |
| 2023 | 4,286 | $229K | |
| 2024incomplete | 3,223 | $182K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 6,015 | 5,095 | $633K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 3,573 | 3,115 | $8K |
| 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 | <1% | 1,621 | 1,516 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 36 | 36 | $421.78 |
| 87428 | <1% | 218 | 207 | $223.58 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 113 | 78 | $118.04 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 72 | 70 | $78.05 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 273 | 268 | $55.74 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 66 | 66 | $53.91 |
| 92551 | <1% | 60 | 60 | $44.36 | |
| 94760 | <1% | 310 | 283 | $21.88 | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 98 | 89 | $0.00 |
4 more codes
| 99000 | 0% | 13 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 46 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 15 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 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.