Physician
Butler Medical Providers
Butler Medical Providers was paid $18K by Medicaid between Mar 2021 and Nov 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoBUTLER MEDICAL PROVIDERS
NEW CASTLE, PA 16105
NEW CASTLE, PA 16105
33aNPI1598132599assigned 08/25/2015
33bProvider typeFamily Medicine Physician
28Total paid$18K
24GClaims577
24DCodes billed5
24AFirst – last monthMar 2021 – Nov 2023
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,418 of 2,756
Median peer was paid$19K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 121 | $4K | |
| 2022 | 194 | $6K | |
| 2023 | 262 | $7K |
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 | 60% | 233 | 216 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 220 | 199 | $7K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 30 | 29 | $0.00 |
| 3074F | 0% | 32 | 26 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 62 | 55 | $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 officialTEWKSBURY, RANDY (EXECUTIVE BMP REVENUE CYCLE)