Physician
Karls, Jeffrey
Karls, Jeffrey was paid $848K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoKARLS, JEFFREY
STRATTANVILLE, PA 16258
STRATTANVILLE, PA 16258
33aNPI1194791673assigned 02/24/2006
33bProvider typeFamily Medicine Physician
28Total paid$848K
24GClaims8,962
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#73 of 2,756
Median peer was paid$19K
This provider vs. median44×
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 | 49 | $3K | |
| 2020 | 720 | $52K | |
| 2021 | 2,974 | $263K | |
| 2022 | 2,646 | $256K | |
| 2023 | 1,624 | $174K | |
| 2024incomplete | 949 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 4,370 | 4,085 | $848K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,360 | 2,272 | $75.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 1,239 | 1,155 | $0.00 |
| 3008F | 0% | 593 | 551 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 206 | 206 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 181 | 177 | $0.00 |
| 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 | 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.