Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Ruppel, Pamela

Ruppel, Pamela was paid $9K by Medicaid between Aug 2022 and Nov 2024, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 74% of everything it billed.

33Billing provider infoRUPPEL, PAMELA
ROANOKE, VA 24018
33aNPI1992868657assigned 12/17/2006
28Total paid$9K
24GClaims158
24DCodes billed3
24AFirst – last monthAug 2022 – Nov 2024
Compared with peers

Next to other Pediatric Nurse Practitioner providers in Virginia

Rank by total paid#25 of 74
Median peer was paid$5K
This provider vs. median2.0×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
202275$4K
2024incomplete83$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 74% 104 24 $7K
99417 Prolong home eval add 15m 24% 27 12 $2K
3085F 1.9% 27 12 $170.00

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.