Physician
Benjamin, Colleen
Benjamin, Colleen was paid $93K by Medicaid between Nov 2020 and May 2022, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoBENJAMIN, COLLEEN
MEADOWBROOK, PA 19046
MEADOWBROOK, PA 19046
33aNPI1902223993assigned 03/27/2014
33bProvider typePediatrics Physician
28Total paid$93K
24GClaims2,794
24DCodes billed15
24AFirst – last monthNov 2020 – May 2022
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#505 of 1,257
Median peer was paid$45K
This provider vs. median2.1×
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 | 125 | $3K | |
| 2021 | 1,809 | $62K | |
| 2022 | 860 | $27K |
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 | 60% | 1,038 | 1,017 | $56K |
| 99051 | 9.3% | 399 | 393 | $9K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 77 | 76 | $7K |
| 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 | 6.8% | 116 | 115 | $6K |
| 87428 | 6.6% | 164 | 163 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 189 | 188 | $2K |
| 99173 | 1.5% | 311 | 309 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 12 | 12 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 13 | 13 | $1K |
| 92551 | 1.0% | 304 | 301 | $969.50 | |
| 99072 | <1% | 89 | 86 | $770.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | 12 | $403.50 |
3 more codes
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.