Physician
Methodist Associates in Healthcare, INC
Methodist Associates in Healthcare, INC was paid $1.29M by Medicaid between Sep 2020 and Dec 2024, across 33 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 46% of everything it billed.
33Billing provider infoMETHODIST ASSOCIATES IN HEALTHCARE, INC
PHILADELPHIA, PA 19148
PHILADELPHIA, PA 19148
33aNPI1053355131assigned 06/16/2006
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$1.29M
24GClaims31,817
24DCodes billed33
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in Pennsylvania
Rank by total paid#1 of 42
Median peer was paid$17K
This provider vs. median77×
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.
Entity ProliferationAuthorized official PADGETT, DAWN controls 12+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 912 | $11K | |
| 2021 | 4,027 | $99K | |
| 2022 | 9,183 | $402K | |
| 2023 | 9,945 | $438K | |
| 2024incomplete | 7,750 | $342K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 46% | 14,197 | 6,841 | $590K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 24% | 4,795 | 2,439 | $305K |
| 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 | 9.7% | 2,969 | 2,878 | $125K |
| 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 | 5.8% | 1,054 | 972 | $75K |
| 99223 | Prolong inpt eval add15 m | 2.7% | 291 | 281 | $35K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 2.0% | 464 | 449 | $26K |
| 94726 | 1.8% | 1,300 | 1,258 | $24K | |
| 94729 | 1.7% | 1,297 | 1,256 | $22K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 235 | 232 | $18K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 427 | 408 | $16K |
| 94060 | 1.1% | 1,299 | 1,257 | $15K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 811 | 789 | $7K |
21 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 109 | $7K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,817 | $6K |
| 94618 | <1% | 170 | $3K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 37 | $3K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 87 | $3K |
| 99220 | <1% | 28 | $2K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 79 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 67 | $1K |
| 95811 | <1% | 13 | $1K | |
| 93970 | <1% | 25 | $819.20 | |
| 99254 | <1% | 12 | $798.00 | |
| 93000 | <1% | 45 | $779.32 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $721.96 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 13 | $331.72 |
| 99217 | <1% | 13 | $312.93 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 38 | $197.47 |
| 94664 | <1% | 13 | $174.44 | |
| 93294 | <1% | 14 | $102.16 | |
| 1220F | 0% | 13 | $0.00 | |
| 3008F | 0% | 58 | $0.00 | |
| 3725F | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialPADGETT, DAWN (CREDENTIALING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Jefferson University Physicians of New Jersey, P.C. | Voorhees, NJ | $2.20M |
| Methodist Associates in Healthcare Heart Station | Philadelphia, PA | $901K |
| Methodist Associates in Healthcare, INC | Philadelphia, PA | $497K |
| Methodist Associates in Healthcare, INC. | Philadelphia, PA | $77K |
| Methodist Associates in Healthcare, INC | Bala Cynwyd, PA | $63K |
| Methodist Associates in Healthcare Gyn | Philadelphia, PA | $31K |
| Methodist Associates in Healthcare, INC | Philadelphia, PA | $7K |
| Methodist Associates in Healthcare of New Jersey, P.C. | Sewell, NJ | $7K |
| Methodist Associates in Healthcare, INC. | Philadelphia, PA | $6K |
| Methodist Associates in Health Care, INC | Philadelphia, PA | $4K |
| Jefferson University Physicians of New Jersey, P.C. | Burlington, NJ | $2K |
| Methodist Associates in Healthcare, INC | Newtown, PA | $319.46 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.