Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Labella, John

Labella, John was paid $206K by Medicaid between Jan 2018 and Dec 2021, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

33Billing provider infoLABELLA, JOHN
NEW CASTLE, PA 16101
33aNPI1578566717assigned 05/23/2005
33bProvider typePediatrics Physician
28Total paid$206K
24GClaims5,450
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#334 of 1,257
Median peer was paid$45K
This provider vs. median4.5×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018166$12K
201963$5K
2020955$36K
20214,266$153K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 25% 588 554 $51K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 838 791 $43K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10% 257 257 $21K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 9.9% 184 171 $20K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.7% 261 260 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.4% 210 210 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.8% 83 83 $8K
99188 2.2% 235 235 $5K
87428 1.8% 70 67 $4K
90686 1.7% 298 287 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 1.2% 67 64 $2K
90648 <1% 174 171 $2K
19 more codes
90670 <1% 174 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 43 $2K
90723 <1% 118 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 82 $1K
90680 <1% 96 $1K
92551 <1% 357 $393.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 30 $374.70
90633 <1% 33 $341.00
99173 <1% 137 $300.00
90734 <1% 12 $144.00
90651 <1% 13 $143.00
90707 <1% 14 $133.00
90716 <1% 14 $133.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 115 $38.50
85018 <1% 45 $7.26
96127 <1% 199 $4.40
99177 0% 352 $0.00
96160 0% 198 $0.00
96161 0% 153 $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.