Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › North Huntingdon › NPI 1821099763
Physician

Philipkosky, Monica

Philipkosky, Monica was paid $56K by Medicaid between Nov 2020 and May 2023, across 7 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 79% of everything it billed.

33Billing provider infoPHILIPKOSKY, MONICA
NORTH HUNTINGDON, PA 15642
33aNPI1821099763assigned 08/02/2005
28Total paid$56K
24GClaims2,526
24DCodes billed7
24AFirst – last monthNov 2020 – May 2023
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Pennsylvania

Rank by total paid#127 of 511
Median peer was paid$14K
This provider vs. median3.9×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
202059$4K
2021857$33K
20221,060$10K
2023550$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 79% 527 359 $44K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 321 315 $12K
3078F 0% 684 608 $0.00
3079F 0% 153 141 $0.00
3074F 0% 773 681 $0.00
3008F 0% 55 53 $0.00
3075F 0% 13 13 $0.00

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.