Physician
Zove, Daniel
Zove, Daniel was paid $279K by Medicaid between Mar 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoZOVE, DANIEL
NATRONA HEIGHTS, PA 15065
NATRONA HEIGHTS, PA 15065
33aNPI1992708143assigned 05/23/2005
33bProvider typePediatrics Physician
28Total paid$279K
24GClaims6,788
24DCodes billed24
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#288 of 1,257
Median peer was paid$45K
This provider vs. median6.1×
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 | 84 | $3K | |
| 2019 | 29 | $2K | |
| 2020 | 193 | $7K | |
| 2021 | 2,064 | $84K | |
| 2022 | 1,015 | $52K | |
| 2023 | 1,586 | $71K | |
| 2024incomplete | 1,817 | $60K |
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 | 30% | 1,080 | 1,044 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 1,394 | 1,333 | $72K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 514 | 514 | $48K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 393 | 392 | $35K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.8% | 291 | 288 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 66 | 66 | $6K |
| 90686 | <1% | 302 | 295 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 48 | 46 | $1K |
| 90648 | <1% | 123 | 123 | $1K | |
| 90670 | <1% | 122 | 122 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 61 | 60 | $886.72 |
| 90723 | <1% | 41 | 41 | $451.00 |
12 more codes
| 92551 | <1% | 517 | $364.62 | |
| 90680 | <1% | 29 | $348.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 449 | $217.05 |
| 96127 | <1% | 235 | $175.12 | |
| 96160 | <1% | 235 | $152.38 | |
| 83655 | <1% | 13 | $68.88 | |
| 99177 | <1% | 299 | $47.43 | |
| G9920 | Screening performed and negative | 0% | 317 | $0.00 |
| 90661 | 0% | 47 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 85 | $0.00 |
| 96161 | 0% | 110 | $0.00 | |
| 90656 | 0% | 17 | $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.