Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Critical Care Physicians of Pennsylvania PC

Critical Care Physicians of Pennsylvania PC was paid $641K by Medicaid between May 2018 and Nov 2024, across 3 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 98% of everything it billed.

33Billing provider infoCRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC
SELLERSVILLE, PA 18960
33aNPI1952670085assigned 12/19/2011
28Total paid$641K
24GClaims8,449
24DCodes billed3
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Pennsylvania

Rank by total paid#3 of 58
Median peer was paid$5K
This provider vs. median141×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FALL, LAURA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201843$147.83
2020481$36K
20212,055$126K
20222,076$154K
20232,116$180K
2024incomplete1,678$144K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 98% 7,774 3,921 $627K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.1% 663 446 $13K
G0508 Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth 0% 12 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.

From NPPES

Who's on the registration

Authorized officialFALL, LAURA (MANAGER)
Same official

Other billing entities under FALL, LAURA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.