Loughner, Carla

Loughner, Carla was paid $5K by Medicaid between Sep 2020 and May 2023, across 4 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 53% of everything it billed.

33Billing provider infoLOUGHNER, CARLA
MONROEVILLE, PA 15146

33aNPI1881911790assigned 05/02/2010

33bProvider typeFamily Nurse Practitioner

28Total paid$5K

24GClaims405

24DCodes billed4

24AFirst – last monthSep 2020 – May 2023

Compared with peers

Next to other Family Nurse Practitioner providers in Pennsylvania

Rank by total paid#633 of 1,075

Median peer was paid$8K

This provider vs. median0.5×

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	260	$2K
2021	41	$1K
2022	54	$995.50
2023	50	$169.70

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	53%	225	217	$2K
99309	Subsequent nursing facility care, per day, low to moderate complexity	26%	104	56	$1K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	21%	25	25	$960.75
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	0%	51	50	$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.