Henzes, John

Henzes, John was paid $15K by Medicaid between Mar 2023 and Oct 2024, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 55% of everything it billed.

33Billing provider infoHENZES, JOHN
DICKSON CITY, PA 18519

33aNPI1134156706assigned 06/27/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$15K

24GClaims231

24DCodes billed3

24AFirst – last monthMar 2023 – Oct 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Pennsylvania

Rank by total paid#119 of 291

Median peer was paid$7K

This provider vs. median2.0×

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
2023	97	$7K
2024incomplete	134	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	55%	78	78	$8K
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	28%	79	78	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	74	71	$2K

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.