Ruppel, Keith

Ruppel, Keith was paid $63K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoRUPPEL, KEITH
EAST LONGMEADOW, MA 01028

33aNPI1962499269assigned 10/02/2005

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$63K

24GClaims1,719

24DCodes billed9

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Massachusetts

Rank by total paid#35 of 54

Median peer was paid$119K

This provider vs. median0.5×

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	721	$27K
2019	255	$10K
2020	129	$5K
2021	122	$6K
2022	280	$9K
2023	198	$6K
2024incomplete	14	$126.70

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	56%	569	532	$35K
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	19%	133	124	$12K
90460	Immunization administration through 18 years of age via any route, first or only component	8.6%	126	126	$5K
96110	Developmental screening, with scoring and documentation, per standardized instrument	8.1%	500	477	$5K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	4.7%	333	333	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.5%	12	12	$957.72
87428		1.5%	15	14	$937.50
90461		<1%	16	16	$485.27
90686		0%	15	15	$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.