Spiegel, Edward

Spiegel, Edward was paid $534K by Medicaid between Oct 2019 and Nov 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoSPIEGEL, EDWARD
LANGHORNE, PA 19047

33aNPI1972679298assigned 11/28/2006

33bProvider typePediatrics Physician

28Total paid$534K

24GClaims9,099

24DCodes billed19

24AFirst – last monthOct 2019 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#180 of 1,257

Median peer was paid$45K

This provider vs. median12×

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
2019	57	$2K
2020	539	$27K
2021	2,185	$117K
2022	2,110	$127K
2023	2,305	$141K
2024incomplete	1,903	$120K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	38%	2,915	2,669	$201K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	2,580	2,399	$125K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13%	575	570	$68K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	11%	569	566	$59K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.3%	237	236	$23K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.2%	195	194	$22K
99080		2.5%	537	518	$13K
90460	Immunization administration through 18 years of age via any route, first or only component	1.4%	432	409	$7K
99499		1.1%	305	257	$6K
90688		<1%	275	272	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	13	13	$1K
90686		<1%	105	104	$1K

7 more codes

99215	Doctor's office visit, returning patient (complex)	<1%	12	$1K
90670		<1%	51	$811.01
96127		<1%	172	$729.00
92552		<1%	43	$370.40
90698		<1%	24	$297.78
99173		<1%	46	$297.00
90716		<1%	13	$155.98

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.