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

Davies, Brian

Davies, Brian was paid $19K by Medicaid between Nov 2020 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoDAVIES, BRIAN
BRIDGEVILLE, PA 15017
33aNPI1588872949assigned 05/18/2007
33bProvider typePediatrics Physician
28Total paid$19K
24GClaims2,582
24DCodes billed11
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#782 of 1,257
Median peer was paid$45K
This provider vs. median0.4×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
202023$148.00
2021290$4K
2022759$4K
2023956$8K
2024incomplete554$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 72% 440 429 $13K
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 21% 81 80 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.0% 13 13 $1K
90688 <1% 23 15 $148.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 12 12 $112.41
1111F 0% 282 282 $0.00
3074F 0% 782 772 $0.00
3008F 0% 165 165 $0.00
90686 0% 17 17 $0.00
3078F 0% 749 739 $0.00
90658 0% 18 18 $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.