Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Altoona › NPI 1790971273
Physician

Sullivan, Robert

Sullivan, Robert was paid $81K by Medicaid between Jan 2021 and Aug 2024, across 21 billing codes. Its largest line is 0001A, — 25% of everything it billed.

33Billing provider infoSULLIVAN, ROBERT
ALTOONA, PA 16602
33aNPI1790971273assigned 09/19/2007
28Total paid$81K
24GClaims2,902
24DCodes billed21
24AFirst – last monthJan 2021 – Aug 2024
Compared with peers

Next to other Infectious Disease Physician providers in Pennsylvania

Rank by total paid#28 of 87
Median peer was paid$26K
This provider vs. median3.2×

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$5.0K$10K$15K2018201920202021202220232024
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
20211,546$48K
2022408$9K
2023752$16K
2024incomplete196$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0001A 25% 668 666 $20K
0002A 21% 551 551 $17K
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 15% 271 264 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8.5% 635 630 $7K
0003A 7.7% 161 161 $6K
0012A 2.4% 62 62 $2K
90619 2.3% 13 13 $2K
90686 2.2% 134 134 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 2.1% 61 25 $2K
91320 1.9% 13 13 $2K
99254 1.8% 12 12 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.5% 56 51 $1K
9 more codes
0013A 1.4% 29 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 1.2% 38 $979.95
90715 1.2% 39 $974.33
0011A 1.1% 41 $881.64
90674 <1% 53 $625.56
0071A <1% 14 $520.00
0072A <1% 12 $480.00
90472 Immunization administration, each additional vaccine (list separately) <1% 27 $473.00
90688 <1% 12 $198.36

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.