Physician
Hamm, Glenn
Hamm, Glenn was paid $154K by Medicaid between Dec 2019 and Jan 2023, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoHAMM, GLENN
SENECA, PA 16346
SENECA, PA 16346
33aNPI1992707350assigned 08/15/2005
33bProvider typePediatrics Physician
28Total paid$154K
24GClaims5,438
24DCodes billed29
24AFirst – last monthDec 2019 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#395 of 1,257
Median peer was paid$45K
This provider vs. median3.4×
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 | 13 | $287.04 | |
| 2020 | 243 | $6K | |
| 2021 | 1,796 | $52K | |
| 2022 | 3,356 | $95K | |
| 2023 | 30 | $1K |
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 | 31% | 1,383 | 1,331 | $48K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 24% | 349 | 346 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 234 | 231 | $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 | 9.0% | 275 | 272 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.3% | 119 | 118 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 107 | 107 | $10K |
| 92552 | 1.9% | 652 | 647 | $3K | |
| 99188 | 1.3% | 98 | 98 | $2K | |
| 90686 | 1.1% | 389 | 350 | $2K | |
| 99173 | <1% | 408 | 405 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 39 | 39 | $910.05 |
| 99177 | <1% | 213 | 211 | $765.00 |
17 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 181 | $492.41 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $468.48 |
| 96161 | <1% | 122 | $463.97 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | $443.89 |
| 90670 | <1% | 103 | $187.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12 | $151.92 |
| 90651 | <1% | 13 | $143.00 | |
| 96127 | <1% | 208 | $141.03 | |
| 90723 | <1% | 48 | $132.00 | |
| 99174 | <1% | 46 | $105.60 | |
| 96160 | <1% | 185 | $3.83 | |
| 90647 | 0% | 14 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 68 | $0.00 |
| 90710 | 0% | 38 | $0.00 | |
| 83655 | 0% | 54 | $0.00 | |
| 80061 | Lipid panel | 0% | 33 | $0.00 |
| 90734 | 0% | 12 | $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.