Physician
Bosworth, Donna
Bosworth, Donna was paid $720K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoBOSWORTH, DONNA
PITTSBURGH, PA 15243
PITTSBURGH, PA 15243
33aNPI1699863217assigned 10/10/2006
33bProvider typePediatrics Physician
28Total paid$720K
24GClaims15,528
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#134 of 1,257
Median peer was paid$45K
This provider vs. median16×
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 | 551 | $35K | |
| 2019 | 165 | $10K | |
| 2020 | 201 | $12K | |
| 2021 | 2,676 | $127K | |
| 2022 | 3,909 | $170K | |
| 2023 | 4,918 | $224K | |
| 2024incomplete | 3,108 | $142K |
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 | 58% | 5,349 | 5,198 | $416K |
| 99051 | 25% | 6,420 | 6,218 | $183K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,804 | 1,772 | $89K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 1,335 | 1,306 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 151 | 151 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 367 | 184 | $4K |
| 87428 | <1% | 102 | 102 | $3K |
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.