Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Pittsburgh › NPI 1689630493
Physician

Hoover, Darren

Hoover, Darren was paid $52K by Medicaid between Jan 2018 and Mar 2022, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 57% of everything it billed.

33Billing provider infoHOOVER, DARREN
PITTSBURGH, PA 15219
33aNPI1689630493assigned 04/21/2006
33bProvider typeOphthalmology Physician
28Total paid$52K
24GClaims1,353
24DCodes billed3
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#74 of 288
Median peer was paid$7K
This provider vs. median7.5×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
201883$4K
2020111$5K
2021931$35K
2022228$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 57% 934 910 $30K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 26% 220 220 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 199 198 $9K

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.