Physician
Doverspike, Brandon
Doverspike, Brandon was paid $198K by Medicaid between Jan 2020 and Nov 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoDOVERSPIKE, BRANDON
CLARION, PA 16214
CLARION, PA 16214
33aNPI1962811497assigned 08/08/2014
33bProvider typeFamily Medicine Physician
28Total paid$198K
24GClaims7,335
24DCodes billed31
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#372 of 2,756
Median peer was paid$19K
This provider vs. median10×
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 | 850 | $13K | |
| 2021 | 2,173 | $50K | |
| 2022 | 632 | $29K | |
| 2023 | 2,032 | $55K | |
| 2024incomplete | 1,648 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 82% | 1,703 | 1,621 | $162K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,135 | 1,109 | $22K |
| 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 | 7.4% | 678 | 661 | $15K |
| 99173 | <1% | 47 | 46 | $39.60 | |
| 92551 | <1% | 45 | 44 | $35.20 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | 12 | $15.40 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 224 | 215 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 27 | 26 | $0.00 |
| 3078F | 0% | 483 | 465 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 59 | 57 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 79 | 69 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 262 | 257 | $0.00 |
19 more codes
| 4004F | 0% | 106 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 37 | $0.00 |
| 96160 | 0% | 14 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 122 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 34 | $0.00 |
| 3017F | 0% | 93 | $0.00 | |
| 3079F | 0% | 186 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 12 | $0.00 |
| 1036F | 0% | 158 | $0.00 | |
| 3074F | 0% | 658 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 652 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 158 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 46 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 44 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 103 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 58 | $0.00 |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 44 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 43 | $0.00 |
| 96127 | 0% | 13 | $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.