Physician
Prince, Beverly
Prince, Beverly was paid $186K by Medicaid between Jan 2018 and Apr 2019, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPRINCE, BEVERLY
COUDERSORT, PA 16915
COUDERSORT, PA 16915
33aNPI1912973314assigned 02/24/2006
33bProvider typeOtolaryngology Physician
28Total paid$186K
24GClaims4,934
24DCodes billed24
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Otolaryngology Physician providers in Pennsylvania
Rank by total paid#21 of 136
Median peer was paid$13K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2018 | 4,701 | $176K | |
| 2019 | 233 | $10K |
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 | 40% | 1,150 | 1,002 | $75K |
| 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 | 35% | 694 | 626 | $65K |
| 99195 | 16% | 301 | 292 | $30K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 153 | 139 | $4K |
| 99401 | 1.9% | 120 | 115 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 254 | 248 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 93 | 90 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 73 | 72 | $1K |
| 92552 | <1% | 29 | 28 | $780.28 | |
| 3074F | <1% | 198 | 181 | $437.50 | |
| 94010 | <1% | 12 | 12 | $420.72 | |
| 3078F | <1% | 172 | 155 | $365.00 |
12 more codes
| 90686 | <1% | 90 | $285.59 | |
| 93000 | <1% | 13 | $81.95 | |
| 3079F | <1% | 32 | $75.00 | |
| 99174 | <1% | 12 | $73.68 | |
| 3008F | 0% | 564 | $0.00 | |
| 1000F | 0% | 133 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 26 | $0.00 |
| 1036F | 0% | 120 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 219 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 212 | $0.00 |
| 3725F | 0% | 252 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 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.