Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Robert S English JR MD PC

Robert S English JR MD PC was paid $7K by Medicaid between Dec 2020 and Sep 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.

33Billing provider infoROBERT S ENGLISH JR MD PC
SMITHFIELD, PA 15478
33aNPI1770560146assigned 12/28/2005
33bProvider typeDermatology Physician
28Total paid$7K
24GClaims214
24DCodes billed2
24AFirst – last monthDec 2020 – Sep 2024
Compared with peers

Next to other Dermatology Physician providers in Pennsylvania

Rank by total paid#64 of 97
Median peer was paid$26K
This provider vs. median0.3×

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

$0$500$1.0K2018201920202021202220232024
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
202022$706.69
2021126$4K
202242$2K
202312$317.18
2024incomplete12$456.43
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 79% 165 155 $6K
11102 21% 49 48 $2K

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.

From NPPES

Who's on the registration

Authorized officialENGLISH, ROBERT (PRESIDENT)