NPI: 1073956850 · BRADFORD, PA 16701 · Family Medicine Physician · NPI assigned 04/11/2013
| Authorized Official | OWENS, JILL (CEO) |
| NPI Enumeration Date | 04/11/2013 |
Other providers sharing the same authorized official: OWENS, JILL
| Provider | City | State | Total Paid |
|---|---|---|---|
| OLEAN GENERAL HOSPITAL | OLEAN | NY | $22.91M |
| OLEAN GENERAL HOSPITAL | BRADFORD | PA | $3.17M |
| HEALTH SYSTEM PHYSICIAN PC | OLEAN | NY | $945K |
| OLEAN GENERAL HOSPITAL | OLEAN | NY | $130K |
| OLEAN GENERAL HOSPITAL | BRADFORD | PA | $59K |
| OLEAN GENERAL HOSPITAL | BRADFORD | PA | $23K |
| OLEAN GENERAL HOSPITAL | SMETHPORT | PA | $18K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32 | $684.56 |
| 2019 | 432 | $24K |
| 2020 | 429 | $41K |
| 2021 | 952 | $117K |
| 2022 | 1,012 | $115K |
| 2023 | 189 | $28K |
| 2024 | 148 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 2,638 | 2,397 | $349K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 315 | 298 | $231.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 173 | 166 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 14 | 13 | $0.00 |
| 99173 | 12 | 12 | $0.00 | |
| 92551 | 12 | 12 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 30 | 29 | $0.00 |