Physician
Dubois Regional Medical Group, PC
Dubois Regional Medical Group, PC was paid $52K by Medicaid between Mar 2018 and Feb 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.
33Billing provider infoDUBOIS REGIONAL MEDICAL GROUP, PC
DU BOIS, PA 15801
DU BOIS, PA 15801
33aNPI1093956617assigned 03/11/2009
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$52K
24GClaims1,413
24DCodes billed2
24AFirst – last monthMar 2018 – Feb 2023
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Pennsylvania
Rank by total paid#9 of 20
Median peer was paid$33K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2018 | 47 | $632.70 | |
| 2019 | 75 | $946.35 | |
| 2020 | 143 | $5K | |
| 2021 | 705 | $28K | |
| 2022 | 413 | $16K | |
| 2023 | 30 | $1K |
Box 24 · Service lines
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 | 91% | 1,328 | 1,050 | $47K |
| 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 | 9.0% | 85 | 70 | $5K |
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 officialSUTIKA, JOHN (AUTHORIZED OFFICIAL & SECRETARY)
Parent organizationPENN HIGHLANDS HEALTHCARE
| Provider | Location | Paid |
|---|---|---|
| Dubois Regional Medical Center | Du Bois, PA | $168K |
| Dubois Regional Medical Group, PC | Clearfield, PA | $101K |
| Dubois Regional Medical Group, PC | Dubois, PA | $26K |
| Dubois Regional Medical Group, PC | Du Bois, PA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.