Serra, Paul

Serra, Paul was paid $6K by Medicaid between Jan 2018 and Jan 2022, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.

33Billing provider infoSERRA, PAUL
SOMERSET, PA 15501

33aNPI1811938418assigned 06/08/2006

33bProvider typeFamily Medicine Physician

28Total paid$6K

24GClaims160

24DCodes billed3

24AFirst – last monthJan 2018 – Jan 2022

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,874 of 2,756

Median peer was paid$19K

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (05/20/2024).

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
2018	50	$1K
2020	16	$778.18
2021	71	$3K
2022	23	$905.90

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	63%	94	75	$4K
S9088	Services provided in an urgent care center (list in addition to code for service)	24%	50	49	$1K
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	13%	16	16	$778.18

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.