Cummings III, George

Cummings III, George was paid $7K by Medicaid between Feb 2021 and Oct 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider infoCUMMINGS III, GEORGE
ROARING SPRING, PA 16673

33aNPI1235225111assigned 10/05/2006

33bProvider typeSurgery Physician

28Total paid$7K

24GClaims226

24DCodes billed2

24AFirst – last monthFeb 2021 – Oct 2023

Compared with peers

Next to other Surgery Physician providers in Pennsylvania

Rank by total paid#80 of 190

Median peer was paid$3K

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
2021	92	$2K
2022	46	$2K
2023	88	$3K

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	89%	214	185	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	12	12	$710.56

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.