Butler Medical Providers
Butler Medical Providers was paid $208K by Medicaid between Jun 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
SENECA, PA 16346
Next to other Family Medicine Physician providers in Pennsylvania
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 141 | $143.78 | |
| 2019 | 141 | $2K | |
| 2020 | 103 | $4K | |
| 2021 | 1,596 | $54K | |
| 2022 | 1,698 | $48K | |
| 2023 | 1,667 | $46K | |
| 2024incomplete | 1,895 | $54K |
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 | 65% | 3,119 | 2,947 | $134K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 1,903 | 1,803 | $61K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.1% | 327 | 319 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 79 | 72 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 193 | 178 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 42 | 40 | $865.80 |
| 90686 | <1% | 60 | 59 | $541.96 | |
| G0008 | Administration of influenza virus vaccine | <1% | 47 | 47 | $363.30 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $336.49 |
| 3078F | <1% | 132 | 122 | $265.00 | |
| 3074F | <1% | 173 | 165 | $225.00 | |
| 3079F | <1% | 62 | 59 | $50.00 |
3 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Butler Healthcare Providers | Butler, PA | $10.40M |
| Clarion Hospital | Clarion, PA | $2.09M |
| Butler Healthcare Providers | Butler, PA | $1.47M |
| Clarion Hospital EMS | Clarion, PA | $1.01M |
| Butler Memorial Hospital | Butler, PA | $379K |
| Butler Medical Providers | Butler, PA | $345K |
| Butler Medical Providers | Butler, PA | $77K |
| Butler Medical Providers | Butler, PA | $33K |
| Butler Medical Providers | Butler, PA | $32K |
| Butler Medical Providers | New Castle, PA | $32K |
| Butler Medical Providers | Butler, PA | $28K |
| Butler Medical Providers | New Castle, PA | $20K |
| Butler Medical Providers | Slippery Rock, PA | $12K |
| Butler Medical Providers | Butler, PA | $11K |
| Butler Medical Providers | Butler, PA | $11K |
| BHS Faster Care PLLC | Butler, PA | $2K |
| Butler Medical Providers | Fairmount City, PA | $2K |
| Butler Medical Providers | Ford City, PA | $595.87 |
| Butler Medical Providers | Butler, PA | $595.26 |
| Butler Medical Providers | Butler, PA | $486.15 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.