Dental
Jefferson Medical Care, PC
Jefferson Medical Care, PC was paid $7K by Medicaid between Jan 2018 and Jun 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoJEFFERSON MEDICAL CARE, PC
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
33aNPI1164511747assigned 10/12/2006
33bProvider typeDentist
28Total paid$7K
24GClaims673
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#489 of 683
Median peer was paid$34K
This provider vs. median0.2×
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 | 426 | $5K | |
| 2020 | 172 | $2K | |
| 2021 | 75 | $523.38 |
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 | 78% | 490 | 462 | $6K |
| 90686 | 11% | 54 | 53 | $785.52 | |
| 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 | 10% | 90 | 88 | $766.08 |
| 36415 | Collection of venous blood by venipuncture | <1% | 26 | 26 | $66.96 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | 13 | $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 officialRISTAS, HRISTOS (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Jefferson University Physicians | Philadelphia, PA | $30.81M |
| Methodist Associates in Healthcare, INC | Philadelphia, PA | $319K |
| Methodist Associates in Healthcare, INC | Philadelphia, PA | $64K |
| Methodist Associates in Healthcare, INC. | Philadelphia, PA | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.