Physician
Kupchella, Regina
Kupchella, Regina was paid $1.19M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoKUPCHELLA, REGINA
JOHNSTOWN, PA 15904
JOHNSTOWN, PA 15904
33aNPI1932269776assigned 12/11/2006
33bProvider typePediatrics Physician
28Total paid$1.19M
24GClaims32,604
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#88 of 1,257
Median peer was paid$45K
This provider vs. median26×
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 | 408 | $21K | |
| 2019 | 126 | $6K | |
| 2020 | 484 | $14K | |
| 2021 | 4,982 | $193K | |
| 2022 | 8,204 | $295K | |
| 2023 | 8,553 | $310K | |
| 2024incomplete | 9,847 | $352K |
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 | 25% | 6,718 | 6,459 | $294K |
| 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 | 24% | 4,334 | 4,144 | $291K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 1,362 | 1,360 | $161K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 1,185 | 1,178 | $128K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.2% | 1,035 | 1,030 | $110K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.0% | 529 | 529 | $60K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.0% | 1,053 | 1,040 | $48K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 848 | 760 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 1,757 | 1,722 | $16K |
| 99173 | 1.3% | 2,538 | 2,523 | $15K | |
| 92551 | 1.3% | 2,537 | 2,522 | $15K | |
| 99188 | 1.2% | 599 | 599 | $14K |
26 more codes
| 96161 | <1% | 667 | $3K | |
| 90677 | <1% | 175 | $2K | |
| 90680 | <1% | 364 | $2K | |
| 90698 | <1% | 296 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 31 | $1K |
| 90670 | <1% | 241 | $1K | |
| 90686 | <1% | 479 | $1K | |
| 90697 | <1% | 221 | $1K | |
| 87807 | <1% | 63 | $998.23 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 776 | $907.24 |
| 96127 | <1% | 705 | $412.36 | |
| 90633 | <1% | 148 | $325.00 | |
| 90710 | <1% | 95 | $182.00 | |
| 90651 | <1% | 57 | $169.00 | |
| 81002 | <1% | 12 | $48.44 | |
| 96160 | <1% | 868 | $32.25 | |
| 85018 | <1% | 17 | $4.20 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 367 | $0.00 |
| 3008F | 0% | 1,695 | $0.00 | |
| 90619 | 0% | 44 | $0.00 | |
| 90656 | 0% | 72 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 90671 | 0% | 155 | $0.00 | |
| 83655 | 0% | 103 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 433 | $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.