Pfaeffle, Hugo
Pfaeffle, Hugo was paid $35K by Medicaid between Nov 2020 and Sep 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoPFAEFFLE, HUGO
MARS, PA 16046
MARS, PA 16046
33aNPI1609841139assigned 02/20/2006
33bProvider typeSpecialist
28Total paid$35K
24GClaims1,184
24DCodes billed6
24AFirst – last monthNov 2020 – Sep 2024
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#196 of 543
Median peer was paid$16K
This provider vs. median2.2×
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 | 101 | $3K | |
| 2021 | 330 | $10K | |
| 2022 | 240 | $8K | |
| 2023 | 251 | $7K | |
| 2024incomplete | 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 | 37% | 282 | 274 | $13K |
| 73130 | 26% | 508 | 410 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 20% | 81 | 81 | $7K |
| 73100 | 13% | 246 | 188 | $4K | |
| 73110 | 2.7% | 51 | 48 | $931.56 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 16 | 16 | $545.06 |
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.