Physician
Ssemakula, Noah
Ssemakula, Noah was paid $57K by Medicaid between Jan 2020 and Sep 2022, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoSSEMAKULA, NOAH
ROARING SPRING, PA 16673
ROARING SPRING, PA 16673
33aNPI1639224371assigned 01/24/2007
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$57K
24GClaims1,709
24DCodes billed13
24AFirst – last monthJan 2020 – Sep 2022
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in Pennsylvania
Rank by total paid#13 of 33
Median peer was paid$34K
This provider vs. median1.6×
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 | 74 | $4K | |
| 2021 | 1,039 | $31K | |
| 2022 | 596 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 855 | 814 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 155 | 154 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 83 | 82 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 114 | 114 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 184 | 181 | $480.65 |
| 90686 | <1% | 32 | 32 | $341.00 | |
| 90698 | <1% | 34 | 25 | $176.00 | |
| 99173 | <1% | 55 | 53 | $94.80 | |
| 92551 | <1% | 68 | 66 | $90.83 | |
| 96161 | <1% | 30 | 30 | $57.45 | |
| 96127 | <1% | 36 | 36 | $44.00 | |
| 90670 | <1% | 23 | 13 | $33.00 |
1 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 40 | $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.