Pfingstler, Lisa
Pfingstler, Lisa was paid $257K by Medicaid between Nov 2020 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPFINGSTLER, LISA
DUBOIS, PA 15801
DUBOIS, PA 15801
33aNPI1851511471assigned 04/26/2007
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$257K
24GClaims7,093
24DCodes billed9
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Pennsylvania
Rank by total paid#27 of 651
Median peer was paid$8K
This provider vs. median33×
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 | 116 | $4K | |
| 2021 | 1,457 | $58K | |
| 2022 | 2,151 | $75K | |
| 2023 | 2,128 | $76K | |
| 2024incomplete | 1,241 | $45K |
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 | 38% | 3,541 | 3,493 | $98K |
| 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 | 25% | 1,421 | 1,415 | $65K |
| 17110 | 19% | 1,144 | 1,132 | $49K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 636 | 635 | $27K |
| 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 | 2.8% | 97 | 97 | $7K |
| 99242 | 2.7% | 116 | 116 | $7K | |
| 11102 | <1% | 113 | 113 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | 13 | $409.18 |
| 17000 | <1% | 12 | 12 | $176.00 |
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.