Pomeroy, Nicole
Pomeroy, Nicole was paid $39K by Medicaid between Jul 2023 and Nov 2024, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 70% of everything it billed.
33Billing provider infoPOMEROY, NICOLE
PUNXSUTAWNEY, PA 15767
PUNXSUTAWNEY, PA 15767
33aNPI1003305178assigned 05/04/2018
33bProvider typeRegistered Nurse
28Total paid$39K
24GClaims1,300
24DCodes billed15
24AFirst – last monthJul 2023 – Nov 2024
Compared with peers
Next to other Registered Nurse providers in Pennsylvania
Rank by total paid#47 of 137
Median peer was paid$12K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2023 | 658 | $8K | |
| 2024incomplete | 642 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 70% | 177 | 173 | $27K |
| 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% | 201 | 192 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 62 | 59 | $2K |
| 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 | 2.8% | 12 | 12 | $1K |
| 1126F | 0% | 65 | 61 | $0.00 | |
| 3074F | 0% | 127 | 126 | $0.00 | |
| 1101F | 0% | 111 | 107 | $0.00 | |
| 3008F | 0% | 199 | 196 | $0.00 | |
| 1125F | 0% | 16 | 15 | $0.00 | |
| 3079F | 0% | 27 | 26 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 52 | 51 | $0.00 |
| 1036F | 0% | 24 | 24 | $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.