Physician
Hemphill, Carolyn
Hemphill, Carolyn was paid $556K by Medicaid between May 2021 and Nov 2024, across 5 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 82% of everything it billed.
33Billing provider infoHEMPHILL, CAROLYN
PITTSBURGH, PA 15237
PITTSBURGH, PA 15237
33aNPI1972500775assigned 07/07/2005
33bProvider typeOrthopaedic Surgery Physician
28Total paid$556K
24GClaims3,821
24DCodes billed5
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Pennsylvania
Rank by total paid#5 of 291
Median peer was paid$7K
This provider vs. median75×
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 | |
|---|---|---|---|
| 2021 | 726 | $93K | |
| 2022 | 1,491 | $218K | |
| 2023 | 1,268 | $161K | |
| 2024incomplete | 336 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 82% | 1,636 | 1,635 | $454K |
| 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 | 12% | 1,243 | 1,053 | $65K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 909 | 840 | $36K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 21 | 21 | $918.75 |
| 96127 | <1% | 12 | 12 | $105.60 |
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.