Physician
Penn's Rock Primary Care
Penn's Rock Primary Care was paid $468K by Medicaid between Oct 2020 and Dec 2024, across 28 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 41% of everything it billed.
33Billing provider infoPENN'S ROCK PRIMARY CARE
PHILADELPHIA, PA 19147
PHILADELPHIA, PA 19147
33aNPI1255859112assigned 08/31/2017
33bProvider typeFamily Medicine Physician
28Total paid$468K
24GClaims10,370
24DCodes billed28
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#139 of 2,756
Median peer was paid$19K
This provider vs. median24×
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 | 124 | $5K | |
| 2021 | 619 | $25K | |
| 2022 | 1,486 | $62K | |
| 2023 | 808 | $20K | |
| 2024incomplete | 7,333 | $355K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 41% | 834 | 832 | $191K |
| 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 | 36% | 2,329 | 1,706 | $170K |
| 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 | 12% | 566 | 469 | $56K |
| 99386 | 3.5% | 142 | 81 | $16K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 321 | 292 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 216 | 197 | $6K |
| 99407 | <1% | 139 | 70 | $3K | |
| 96127 | <1% | 687 | 366 | $3K | |
| 97602 | <1% | 264 | 208 | $3K | |
| 99401 | <1% | 105 | 85 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 37 | 37 | $2K |
| 96160 | <1% | 578 | 325 | $2K |
16 more codes
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 74 | $959.60 |
| 1160F | 0% | 96 | $0.00 | |
| 3725F | 0% | 212 | $0.00 | |
| 3078F | 0% | 499 | $0.00 | |
| 1159F | 0% | 92 | $0.00 | |
| 3077F | 0% | 300 | $0.00 | |
| 99408 | 0% | 13 | $0.00 | |
| 3080F | 0% | 327 | $0.00 | |
| 3008F | 0% | 949 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 3075F | 0% | 234 | $0.00 | |
| 1125F | 0% | 89 | $0.00 | |
| 1126F | 0% | 271 | $0.00 | |
| 1036F | 0% | 60 | $0.00 | |
| 3079F | 0% | 317 | $0.00 | |
| 3074F | 0% | 607 | $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 officialVANSANT, MONIKA (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Vansant Medicine, INC | Philadelphia, PA | $540K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.