Physician
Metabolic Disease Associates, INC.
Metabolic Disease Associates, INC. was paid $79K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoMETABOLIC DISEASE ASSOCIATES, INC.
ERIE, PA 16501
ERIE, PA 16501
33aNPI1639119142assigned 06/07/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$79K
24GClaims5,017
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Pennsylvania
Rank by total paid#27 of 143
Median peer was paid$15K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2018 | 509 | $6K | |
| 2019 | 488 | $4K | |
| 2020 | 191 | $4K | |
| 2021 | 1,687 | $36K | |
| 2022 | 1,401 | $21K | |
| 2023 | 294 | $3K | |
| 2024incomplete | 447 | $5K |
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 | 55% | 2,407 | 2,276 | $43K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 877 | 822 | $18K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.8% | 273 | 112 | $6K |
| 99223 | Prolong inpt eval add15 m | 4.1% | 86 | 80 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.2% | 642 | 625 | $3K |
| 95251 | 1.9% | 94 | 85 | $2K | |
| 82947 | 1.5% | 444 | 430 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 12 | 12 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 61 | 25 | $721.76 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 40 | 39 | $519.34 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 16 | 12 | $217.24 |
| 84439 | <1% | 40 | 39 | $183.60 |
2 more codes
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 officialAPARICIO, LUIS (OWNER/PRESIDENT)