Physician
Sutton, a
Sutton, a was paid $8K by Medicaid between Jan 2018 and Jun 2018, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoSUTTON, A
HUNTINGDON, PA 16652
HUNTINGDON, PA 16652
33aNPI1811993918assigned 06/23/2005
33bProvider typeEmergency Medicine Physician
28Total paid$8K
24GClaims209
24DCodes billed3
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#778 of 1,211
Median peer was paid$19K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2018 | 209 | $8K |
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 | 51% | 74 | 68 | $4K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 46% | 121 | 112 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 14 | 13 | $219.52 |
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.