Physician
Bencie, David
Bencie, David was paid $160K by Medicaid between Oct 2020 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoBENCIE, DAVID
WINDBER, PA 15963
WINDBER, PA 15963
33aNPI1720070436assigned 08/18/2005
33bProvider typeInternal Medicine Physician
28Total paid$160K
24GClaims11,199
24DCodes billed28
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#137 of 1,726
Median peer was paid$6K
This provider vs. median25×
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 | 108 | $3K | |
| 2021 | 943 | $31K | |
| 2022 | 1,160 | $27K | |
| 2023 | 2,473 | $50K | |
| 2024incomplete | 6,515 | $49K |
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 | 69% | 1,815 | 1,790 | $110K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 1,049 | 1,011 | $41K |
| G0444 | Annual depression screening, 5 to 15 minutes | 2.8% | 360 | 355 | $5K |
| 0002A | <1% | 31 | 31 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $1K |
| 0001A | <1% | 32 | 32 | $656.27 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 26 | 26 | $650.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 45 | 38 | $318.90 |
| 90686 | <1% | 40 | 39 | $225.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,047 | 1,005 | $0.00 |
| 3078F | 0% | 1,301 | 1,267 | $0.00 | |
| 1090F | 0% | 60 | 59 | $0.00 |
16 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 155 | $0.00 |
| 4004F | 0% | 57 | $0.00 | |
| 3077F | 0% | 138 | $0.00 | |
| 3075F | 0% | 261 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 313 | $0.00 |
| 3079F | 0% | 524 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 247 | $0.00 |
| 3008F | 0% | 947 | $0.00 | |
| 4010F | 0% | 270 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 626 | $0.00 |
| 3074F | 0% | 754 | $0.00 | |
| 3048F | 0% | 53 | $0.00 | |
| 3011F | 0% | 284 | $0.00 | |
| 90656 | 0% | 24 | $0.00 | |
| 1101F | 0% | 258 | $0.00 | |
| 3061F | 0% | 470 | $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.