Physician
Pinecroft Medical Center
Pinecroft Medical Center was paid $19K by Medicaid between Sep 2020 and Aug 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoPINECROFT MEDICAL CENTER
ALTOONA, PA 16601
ALTOONA, PA 16601
33aNPI1780622621assigned 06/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$19K
24GClaims655
24DCodes billed4
24AFirst – last monthSep 2020 – Aug 2023
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,381 of 2,756
Median peer was paid$19K
This provider vs. median1.0×
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 | 73 | $2K | |
| 2021 | 253 | $7K | |
| 2022 | 112 | $5K | |
| 2023 | 217 | $6K |
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 | 55% | 382 | 345 | $10K |
| 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 | 45% | 203 | 182 | $9K |
| 96127 | <1% | 17 | 13 | $43.60 | |
| 3008F | 0% | 53 | 48 | $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.
From NPPES
Who's on the registration
Authorized officialANNA, ANNA (CEO)
Parent organizationTYRONE HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Tyrone Hospital | Tyrone, PA | $416K |
| Tyrone Hospital | Houtzdale, PA | $97K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.