Commonwealth Physician Network LLC
Commonwealth Physician Network LLC was paid $534K by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
KINGSTON, PA 18704
Next to other Family Medicine Physician providers in Pennsylvania
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,695 | $13K | |
| 2019 | 1,611 | $11K | |
| 2020 | 1,051 | $27K | |
| 2021 | 8,888 | $70K | |
| 2022 | 11,450 | $77K | |
| 2023 | 12,249 | $102K | |
| 2024incomplete | 25,248 | $236K |
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 | 38% | 7,575 | 7,099 | $204K |
| 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 | 29% | 3,804 | 3,663 | $152K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.6% | 210 | 201 | $35K |
| 20610 | 3.8% | 1,137 | 1,031 | $20K | |
| 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 | 3.3% | 277 | 271 | $18K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.8% | 1,521 | 1,493 | $15K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 310 | 306 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 538 | 502 | $10K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 255 | 248 | $8K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.5% | 80 | 79 | $8K |
| 99243 | <1% | 64 | 64 | $5K | |
| 99460 | <1% | 133 | 128 | $5K |
45 more codes
| 95886 | <1% | 62 | $5K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 119 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 108 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 24 | $3K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 119 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 473 | $3K |
| 99307 | <1% | 375 | $2K | |
| 90682 | <1% | 66 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 337 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 102 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | $1K |
| 3074F | <1% | 5,710 | $1K | |
| 3078F | <1% | 4,498 | $1K | |
| 93000 | <1% | 95 | $1K | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 66 | $1K |
| 54150 | <1% | 13 | $999.35 | |
| 73560 | <1% | 44 | $904.89 | |
| 95251 | <1% | 25 | $679.00 | |
| 20526 | <1% | 13 | $502.58 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 44 | $454.00 |
| 93971 | <1% | 20 | $397.23 | |
| 93970 | <1% | 12 | $357.07 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $297.00 |
| 3079F | <1% | 715 | $285.00 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 39 | $271.63 |
| 51798 | <1% | 13 | $152.69 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 599 | $143.82 |
| 3075F | <1% | 132 | $95.00 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,047 | $31.32 |
| 3725F | <1% | 179 | $30.00 | |
| 81000 | <1% | 12 | $21.05 | |
| 1159F | 0% | 2,423 | $0.00 | |
| 1160F | 0% | 2,926 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 104 | $0.00 |
| 3288F | 0% | 12 | $0.00 | |
| 1036F | 0% | 10,244 | $0.00 | |
| 3008F | 0% | 10,270 | $0.00 | |
| 1125F | 0% | 3,299 | $0.00 | |
| 1034F | 0% | 1,247 | $0.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 310 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 183 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 109 | $0.00 |
| 1126F | 0% | 44 | $0.00 | |
| 99024 | 0% | 17 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lutheran Medical Group LLC | Fort Wayne, IN | $21.97M |
| LA Porte Clinic Company LLC | Valparaiso, IN | $18.77M |
| Vicksburg Clinic LLC | Vicksburg, MS | $15.98M |
| Northwest Allied Physicians LLC | Tucson, AZ | $10.30M |
| Kosciusko Medical Group LLC | Warsaw, IN | $8.81M |
| Knoxville Hma Physician Management, LLC | Knoxville, TN | $8.70M |
| Wesley Physician Services LLC | Hattiesburg, MS | $8.20M |
| Porter Physician Services LLC | Valparaiso, IN | $6.44M |
| Hood Medical Group | Granbury, TX | $6.40M |
| Northwest Physicians LLC | Springdale, AR | $5.81M |
| QHG of Fort Wayne Company LLC | Fort Wayne, IN | $4.24M |
| Vicksburg Clinic LLC | Vicksburg, MS | $4.10M |
| Dukes Physician Services LLC | Peru, IN | $3.72M |
| Bluffton Physician Services LLC | Bluffton, IN | $3.45M |
| Bullhead City Clinic Corp | Bullhead City, AZ | $3.13M |
| Northwest Urgent Care LLC | Tucson, AZ | $2.64M |
| River Oaks Management Company LLC | Jackson, MS | $2.56M |
| Scranton Quincy Clinic Company LLC | Scranton, PA | $2.03M |
| Foley Clinic Corp | Gulf Shores, AL | $2.01M |
| Mat Su Valley Medical Center LLC | Wasilla, AK | $1.95M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.