Physician
Elsner, Cynthia
Elsner, Cynthia was paid $128K by Medicaid between Oct 2020 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoELSNER, CYNTHIA
HUMMELSTOWN, PA 17036
HUMMELSTOWN, PA 17036
33aNPI1700806031assigned 07/20/2006
33bProvider typePediatrics Physician
28Total paid$128K
24GClaims3,421
24DCodes billed15
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#439 of 1,257
Median peer was paid$45K
This provider vs. median2.8×
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 | 55 | $504.00 | |
| 2021 | 355 | $15K | |
| 2022 | 560 | $22K | |
| 2023 | 1,374 | $45K | |
| 2024incomplete | 1,077 | $46K |
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 | 56% | 1,514 | 1,387 | $71K |
| 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 | 15% | 253 | 248 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 211 | 211 | $17K |
| 99051 | 8.7% | 420 | 393 | $11K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 54 | 54 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | 27 | $1K |
| 90686 | <1% | 187 | 165 | $901.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 31 | 30 | $398.46 |
| 92551 | <1% | 139 | 139 | $369.48 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 426 | 422 | $113.93 |
| 99177 | <1% | 64 | 64 | $113.43 | |
| 96127 | <1% | 24 | 24 | $22.88 |
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.