Physician
Downing, Timothy
Downing, Timothy was paid $418K by Medicaid between Feb 2018 and Apr 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoDOWNING, TIMOTHY
MEADVILLE, PA 16335
MEADVILLE, PA 16335
33aNPI1720016678assigned 06/29/2006
33bProvider typePediatrics Physician
28Total paid$418K
24GClaims9,959
24DCodes billed25
24AFirst – last monthFeb 2018 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#229 of 1,257
Median peer was paid$45K
This provider vs. median9.2×
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 | 16 | $882.40 | |
| 2020 | 149 | $9K | |
| 2021 | 2,915 | $135K | |
| 2022 | 3,659 | $147K | |
| 2023 | 3,016 | $118K | |
| 2024incomplete | 204 | $8K |
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 | 32% | 2,010 | 1,939 | $134K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 877 | 877 | $88K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 1,478 | 1,474 | $85K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 692 | 691 | $64K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 377 | 377 | $33K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 64 | 64 | $6K |
| 99188 | <1% | 104 | 104 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 137 | 136 | $2K |
| 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 | <1% | 14 | 14 | $1K |
| 96161 | <1% | 350 | 349 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 13 | $545.76 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 388 | 388 | $271.28 |
13 more codes
| 92551 | <1% | 463 | $245.68 | |
| 99173 | <1% | 546 | $225.00 | |
| 96160 | <1% | 146 | $47.90 | |
| 96127 | <1% | 94 | $43.01 | |
| 83655 | <1% | 98 | $2.30 | |
| 90670 | 0% | 206 | $0.00 | |
| 90633 | 0% | 38 | $0.00 | |
| 90723 | 0% | 148 | $0.00 | |
| 90680 | 0% | 101 | $0.00 | |
| 3008F | 0% | 1,379 | $0.00 | |
| 90686 | 0% | 95 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 31 | $0.00 |
| 90647 | 0% | 110 | $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.