Fugate, Douglas

Fugate, Douglas was paid $20K by Medicaid between Dec 2020 and Feb 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoFUGATE, DOUGLAS
PUNXSUTAWNEY, PA 15767

33aNPI1871553552assigned 03/25/2006

33bProvider typeSports Medicine (Orthopaedic Surgery) Physician

28Total paid$20K

24GClaims766

24DCodes billed5

24AFirst – last monthDec 2020 – Feb 2024

Compared with peers

Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Pennsylvania

Rank by total paid#9 of 29

Median peer was paid$9K

This provider vs. median2.2×

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	15	$455.00
2021	215	$6K
2022	239	$6K
2023	244	$6K
2024incomplete	53	$1K

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	65%	423	410	$13K
20610		28%	291	214	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.5%	13	13	$705.54
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.8%	27	26	$561.12
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	0%	12	12	$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.