Physician
Fayette Physician Network INC
Fayette Physician Network INC was paid $816K by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoFAYETTE PHYSICIAN NETWORK INC
UNIONTOWN, PA 15401
UNIONTOWN, PA 15401
33aNPI1992107817assigned 09/23/2014
33bProvider typeGastroenterology Physician
28Total paid$816K
24GClaims26,910
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Pennsylvania
Rank by total paid#6 of 178
Median peer was paid$6K
This provider vs. median142×
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 | 26 | $1K | |
| 2019 | 28 | $1K | |
| 2020 | 178 | $2K | |
| 2021 | 3,197 | $83K | |
| 2022 | 6,794 | $178K | |
| 2023 | 9,163 | $299K | |
| 2024incomplete | 7,524 | $252K |
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 | 27% | 7,221 | 6,379 | $222K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 27% | 2,862 | 2,706 | $219K |
| 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 | 23% | 4,727 | 4,443 | $190K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.4% | 1,047 | 1,003 | $52K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.2% | 4,190 | 3,749 | $26K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.5% | 315 | 308 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 448 | 433 | $10K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.2% | 108 | 99 | $10K |
| 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 | 1.1% | 123 | 121 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 182 | 174 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 167 | 161 | $7K |
| 93000 | <1% | 360 | 358 | $6K |
41 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 656 | $5K |
| 92551 | <1% | 590 | $5K | |
| 99383 | <1% | 57 | $4K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 79 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 405 | $3K |
| 99173 | <1% | 449 | $3K | |
| 99384 | <1% | 29 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 118 | $2K |
| 20610 | <1% | 111 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 70 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 116 | $2K |
| 99382 | <1% | 28 | $2K | |
| 90461 | <1% | 98 | $1K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 42 | $1K |
| 99381 | <1% | 14 | $915.00 | |
| 90670 | <1% | 90 | $871.33 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | $780.66 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $768.23 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 100 | $677.68 |
| 90686 | <1% | 396 | $672.44 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $620.71 |
| 99406 | <1% | 95 | $600.00 | |
| 90671 | <1% | 269 | $576.96 | |
| 51798 | <1% | 43 | $446.39 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $412.84 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 17 | $371.00 |
| 73560 | <1% | 34 | $341.61 | |
| 94060 | <1% | 42 | $288.38 | |
| 96127 | <1% | 51 | $281.90 | |
| 94729 | <1% | 45 | $272.62 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 15 | $152.08 |
| 94726 | <1% | 14 | $141.72 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 76 | $71.53 |
| 90651 | 0% | 85 | $0.00 | |
| 90723 | 0% | 351 | $0.00 | |
| 90656 | 0% | 176 | $0.00 | |
| 90715 | 0% | 61 | $0.00 | |
| 90648 | 0% | 72 | $0.00 | |
| 90734 | 0% | 64 | $0.00 | |
| 90633 | 0% | 120 | $0.00 | |
| 90700 | 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.
From NPPES
Who's on the registration
Authorized officialWORKMAN, ELIZABETH (REV CYCLE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Fayette Physician Network INC | Uniontown, PA | $26K |
| Fayette Physician Network INC | Connellsville, PA | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.