NPI: 1861084691 · BUTLER, PA 16001 · Pediatrics Physician · NPI assigned 02/03/2021
Authorized official MARTINEZ, LORI controls 20+ related entities in our dataset. Read more
| Authorized Official | MARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III) |
| NPI Enumeration Date | 02/03/2021 |
Other providers sharing the same authorized official: MARTINEZ, LORI
| Provider | City | State | Total Paid |
|---|---|---|---|
| CHILDREN'S COMMUNITY CARE | WEXFORD | PA | $5.17M |
| CHILDREN'S COMMUNITY CARE | SEWICKLEY | PA | $3.28M |
| CHILDREN'S COMMUNITY CARE | UNIONTOWN | PA | $1.02M |
| CHILDREN'S COMMUNITY CARE | PITTSBURGH | PA | $898K |
| CHILDEN'S COMMUNITY CARE | NEW CASTLE | PA | $646K |
| CHILDREN'S COMMUNITY CARE | MONONGAHELA | PA | $628K |
| CHILDREN'S COMMUNITY CARE | ERIE | PA | $580K |
| CHILDEN'S COMMUNITY CARE | PITTSBURGH | PA | $535K |
| CHILDEN'S COMMUNITY CARE | HUMMELSTOWN | PA | $522K |
| CHILDREN'S COMMUNITY CARE | YORK | PA | $500K |
| CHILDREN'S COMMUNITY CARE | HUNTINGDON | PA | $470K |
| CHILDREN'S COMMUNITY CARE | WEXFORD | PA | $467K |
| CHILDEN'S COMMUNITY CARE | CAMP HILL | PA | $438K |
| CHILDREN'S COMMUNITY CARE | PITTSBURGH | PA | $414K |
| CHILDREN'S COMMUNITY CARE | NEW CASTLE | PA | $394K |
| CHILDEN'S COMMUNITY CARE | HERMITAGE | PA | $276K |
| CHILDREN'S COMMUNITY CARE | NORTH HUNTINGDON | PA | $252K |
| CHILDREN'S COMMUNITY CARE | NATRONA HEIGHTS | PA | $207K |
| CHILDREN'S COMMUNITY CARE | WHITE OAK | PA | $181K |
| CHILDEN'S COMMUNITY CARE | GROVE CITY | PA | $177K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 379 | $21K |
| 2023 | 1,030 | $40K |
| 2024 | 1,581 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 830 | 746 | $54K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 427 | 394 | $42K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 127 | 109 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 58 | 58 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 55 | 55 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 25 | 25 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 14 | 14 | $176.40 |
| 96127 | 147 | 147 | $55.98 | |
| 96160 | 147 | 147 | $50.91 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 389 | 310 | $48.16 |
| 92551 | 206 | 206 | $42.70 | |
| 99177 | 25 | 25 | $16.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 88 | 88 | $0.00 |
| 96161 | 93 | 75 | $0.00 | |
| 90619 | 12 | 12 | $0.00 | |
| 90651 | 13 | 13 | $0.00 | |
| 90686 | 14 | 14 | $0.00 | |
| G9920 | Screening performed and negative | 305 | 270 | $0.00 |
| 99173 | 15 | 15 | $0.00 |