Physician
Buendia, Mary Lou
Buendia, Mary Lou was paid $357K by Medicaid between Oct 2020 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoBUENDIA, MARY LOU
SHAMOKIN, PA 17872
SHAMOKIN, PA 17872
33aNPI1942260062assigned 03/23/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$357K
24GClaims10,539
24DCodes billed23
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Pennsylvania
Rank by total paid#10 of 44
Median peer was paid$39K
This provider vs. median9.2×
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 | 300 | $9K | |
| 2021 | 3,098 | $103K | |
| 2022 | 2,881 | $90K | |
| 2023 | 2,396 | $80K | |
| 2024incomplete | 1,864 | $75K |
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 | 65% | 6,634 | 5,236 | $233K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.5% | 379 | 375 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.3% | 368 | 366 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 286 | 284 | $27K |
| 90672 | 1.7% | 620 | 617 | $6K | |
| 83655 | 1.0% | 365 | 362 | $4K | |
| 92552 | <1% | 370 | 369 | $3K | |
| 99173 | <1% | 429 | 426 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 27 | 27 | $2K |
| 96127 | <1% | 453 | 452 | $2K | |
| 0001A | <1% | 42 | 42 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 151 | 144 | $2K |
11 more codes
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 0002A | <1% | 38 | $2K | |
| 80061 | Lipid panel | <1% | 114 | $1K |
| 90688 | <1% | 97 | $1K | |
| 90734 | <1% | 28 | $470.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $320.00 |
| 90670 | <1% | 42 | $290.00 | |
| 90687 | <1% | 25 | $252.00 | |
| 90651 | <1% | 14 | $140.00 | |
| 90633 | <1% | 12 | $121.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 16 | $111.84 |
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.