Physician
Chen, Wayne
Chen, Wayne was paid $273K by Medicaid between Dec 2019 and Oct 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoCHEN, WAYNE
MC KEES ROCKS, PA 15136
MC KEES ROCKS, PA 15136
33aNPI1922269349assigned 06/18/2008
33bProvider typePediatrics Physician
28Total paid$273K
24GClaims10,259
24DCodes billed36
24AFirst – last monthDec 2019 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#295 of 1,257
Median peer was paid$45K
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2019 | 13 | $712.00 | |
| 2020 | 569 | $9K | |
| 2021 | 1,831 | $51K | |
| 2022 | 3,191 | $86K | |
| 2023 | 1,528 | $36K | |
| 2024incomplete | 3,127 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 51% | 2,572 | 2,299 | $138K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 421 | 371 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 343 | 325 | $28K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10.0% | 785 | 737 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 230 | 207 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 153 | 151 | $10K |
| 99173 | 2.2% | 1,480 | 1,330 | $6K | |
| 92552 | 2.2% | 1,296 | 1,158 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 106 | 90 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 61 | 61 | $2K |
| 90677 | <1% | 60 | 60 | $1K | |
| 87070 | <1% | 141 | 134 | $1K |
24 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 137 | $1K |
| 90619 | <1% | 28 | $626.40 | |
| 90700 | <1% | 423 | $594.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | $542.10 |
| 90688 | <1% | 96 | $429.00 | |
| 96161 | <1% | 112 | $352.36 | |
| 90713 | <1% | 254 | $286.00 | |
| 92551 | <1% | 137 | $260.86 | |
| 81003 | <1% | 110 | $228.14 | |
| 90671 | <1% | 16 | $176.00 | |
| 96127 | <1% | 336 | $159.10 | |
| 90707 | <1% | 67 | $132.00 | |
| 90744 | <1% | 16 | $121.00 | |
| 81000 | <1% | 63 | $99.15 | |
| 96160 | <1% | 455 | $76.86 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 89 | $0.00 |
| 90647 | 0% | 44 | $0.00 | |
| 90674 | 0% | 37 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 31 | $0.00 |
| 90716 | 0% | 48 | $0.00 | |
| 90651 | 0% | 15 | $0.00 | |
| 90734 | 0% | 32 | $0.00 | |
| 90648 | 0% | 27 | $0.00 | |
| 90670 | 0% | 26 | $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.