Physician
Anon, Jack
Anon, Jack was paid $253K by Medicaid between Nov 2020 and Dec 2024, across 15 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 21% of everything it billed.
33Billing provider infoANON, JACK
ERIE, PA 16505
ERIE, PA 16505
33aNPI1104877265assigned 05/13/2006
33bProvider typeOtolaryngic Allergy Physician
28Total paid$253K
24GClaims6,711
24DCodes billed15
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Otolaryngic Allergy Physician providers in Pennsylvania
Rank by total paid#2 of 12
Median peer was paid$63K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2020 | 78 | $2K | |
| 2021 | 945 | $26K | |
| 2022 | 1,651 | $50K | |
| 2023 | 2,462 | $106K | |
| 2024incomplete | 1,575 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 1,076 | 1,070 | $54K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,451 | 1,381 | $44K |
| 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 | 14% | 390 | 388 | $34K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 13% | 297 | 295 | $34K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 11% | 227 | 220 | $29K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 7.8% | 101 | 100 | $20K |
| 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 | 5.7% | 300 | 293 | $14K |
| 92567 | 3.8% | 792 | 784 | $10K | |
| 95117 | 3.5% | 1,340 | 1,072 | $9K | |
| 92552 | <1% | 214 | 214 | $2K | |
| 92555 | <1% | 198 | 198 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | 53 | $1K |
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.