Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Lemoyne › NPI 1710197975
Physician

King, Dale

King, Dale was paid $279K by Medicaid between Nov 2020 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoKING, DALE
LEMOYNE, PA 17043
33aNPI1710197975assigned 05/23/2007
28Total paid$279K
24GClaims1,790
24DCodes billed5
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Pennsylvania

Rank by total paid#4 of 22
Median peer was paid$51K
This provider vs. median5.4×

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$10K$20K2018201920202021202220232024
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
202016$3K
2021203$24K
2022305$45K
2023465$78K
2024incomplete801$129K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 39% 976 973 $108K
99244 Office or other outpatient consultation, moderate to high complexity 38% 442 442 $105K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 14% 267 264 $40K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 8.8% 93 93 $24K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 12 12 $945.00

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.