Provenzano, David

Provenzano, David was paid $38K by Medicaid between Nov 2020 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.

33Billing provider infoPROVENZANO, DAVID
SEWICKLEY, PA 15143

33aNPI1790796233assigned 08/10/2006

33bProvider typeAnesthesiology Physician

28Total paid$38K

24GClaims1,274

24DCodes billed3

24AFirst – last monthNov 2020 – Nov 2024

Compared with peers

Next to other Anesthesiology Physician providers in Pennsylvania

Rank by total paid#48 of 168

Median peer was paid$9K

This provider vs. median4.0×

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	38	$667.16
2021	248	$8K
2022	339	$10K
2023	343	$11K
2024incomplete	306	$9K

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	86%	1,049	987	$33K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	213	206	$5K
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	$199.45

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.