Physician
Chlpka, Paul
Chlpka, Paul was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoCHLPKA, PAUL
SHARON, PA 16146
SHARON, PA 16146
33aNPI1689659120assigned 12/07/2005
33bProvider typePediatrics Physician
28Total paid$1.30M
24GClaims56,594
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#80 of 1,257
Median peer was paid$45K
This provider vs. median29×
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 | 1,381 | $36K | |
| 2019 | 778 | $20K | |
| 2020 | 3,027 | $63K | |
| 2021 | 11,692 | $272K | |
| 2022 | 12,499 | $275K | |
| 2023 | 13,753 | $319K | |
| 2024incomplete | 13,464 | $315K |
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 | 29% | 10,731 | 9,756 | $382K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 2,698 | 2,693 | $240K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 2,216 | 2,211 | $181K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,818 | 1,745 | $156K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.8% | 1,335 | 1,328 | $114K |
| 87428 | 3.6% | 1,389 | 1,355 | $46K | |
| 92551 | 1.7% | 4,772 | 4,744 | $22K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 666 | 654 | $20K |
| 99051 | 1.5% | 814 | 801 | $19K | |
| 99173 | 1.2% | 4,767 | 4,742 | $16K | |
| 96160 | 1.1% | 5,665 | 5,635 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,601 | 1,540 | $12K |
41 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 375 | $9K |
| 90686 | <1% | 1,734 | $8K | |
| 94760 | <1% | 2,755 | $5K | |
| 99188 | <1% | 269 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 104 | $4K |
| 96161 | <1% | 1,229 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 150 | $4K |
| 96127 | <1% | 1,919 | $4K | |
| 87807 | <1% | 283 | $4K | |
| 90670 | <1% | 1,072 | $3K | |
| 90648 | <1% | 815 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,517 | $3K |
| 90723 | <1% | 595 | $3K | |
| 0071A | <1% | 46 | $2K | |
| 90680 | <1% | 874 | $2K | |
| 0072A | <1% | 41 | $2K | |
| 0002A | <1% | 31 | $1K | |
| 90633 | <1% | 561 | $1K | |
| 99381 | <1% | 13 | $1K | |
| 90716 | <1% | 405 | $973.00 | |
| 90707 | <1% | 391 | $841.00 | |
| 0001A | <1% | 14 | $808.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $792.00 |
| 83655 | <1% | 612 | $703.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 41 | $577.56 |
| 81002 | <1% | 99 | $370.59 | |
| 90700 | <1% | 24 | $134.00 | |
| 90715 | <1% | 104 | $72.00 | |
| 85013 | <1% | 626 | $69.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 42 | $68.25 |
| 90656 | <1% | 122 | $65.00 | |
| 90696 | <1% | 31 | $46.00 | |
| 90697 | <1% | 319 | $39.00 | |
| 90651 | <1% | 122 | $35.00 | |
| 90677 | <1% | 280 | $13.00 | |
| 80061 | Lipid panel | <1% | 93 | $2.00 |
| 91300 | 0% | 55 | $0.00 | |
| 90734 | 0% | 18 | $0.00 | |
| 90619 | 0% | 140 | $0.00 | |
| 90620 | 0% | 91 | $0.00 | |
| 91307 | 0% | 98 | $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.