Physician
Pumphrey, Sarah
Pumphrey, Sarah was paid $67K by Medicaid between Jan 2018 and Oct 2018, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoPUMPHREY, SARAH
FISHERSVILLE, VA 22939
FISHERSVILLE, VA 22939
33aNPI1720285869assigned 07/02/2007
33bProvider typePediatrics Physician
28Total paid$67K
24GClaims1,260
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#289 of 817
Median peer was paid$29K
This provider vs. median2.3×
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 | 1,260 | $67K |
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 | 46% | 369 | 353 | $31K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 317 | 307 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 108 | 105 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 43 | 43 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 27 | 26 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 121 | 116 | $2K |
| 90686 | 2.1% | 116 | 116 | $1K | |
| 90648 | <1% | 12 | 12 | $134.75 | |
| 90670 | <1% | 12 | 12 | $134.75 | |
| 90633 | <1% | 12 | 12 | $126.50 | |
| 92551 | <1% | 12 | 12 | $115.28 | |
| 96127 | <1% | 30 | 27 | $100.64 |
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.