Elma, Elmer Jones

Elma, Elmer Jones was paid $6K by Medicaid between Feb 2020 and Mar 2024, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 65% of everything it billed.

33Billing provider infoELMA, ELMER JONES
AMSTERDAM, NY 12010

33aNPI1255747184assigned 07/11/2014

33bProvider typeAcute Care Nurse Practitioner

28Total paid$6K

24GClaims332

24DCodes billed4

24AFirst – last monthFeb 2020 – Mar 2024

Compared with peers

Next to other Acute Care Nurse Practitioner providers in New York

Rank by total paid#14 of 58

Median peer was paid$2K

This provider vs. median3.4×

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	86	$777.27
2021	52	$34.31
2022	28	$184.53
2023	127	$4K
2024incomplete	39	$705.34

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	65%	67	67	$4K
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	16%	153	145	$893.75
99441		13%	51	50	$705.34
99442		6.4%	61	61	$356.16

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.