Physician
Madison, Jan
Madison, Jan was paid $919.59 by Medicaid between Aug 2021 and May 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoMADISON, JAN
ROSTRAVER TOWNSHIP, PA 15012
ROSTRAVER TOWNSHIP, PA 15012
33aNPI1275529760assigned 09/21/2005
33bProvider typePulmonary Disease Physician
28Total paid$919.59
24GClaims63
24DCodes billed4
24AFirst – last monthAug 2021 – May 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Pennsylvania
Rank by total paid#111 of 137
Median peer was paid$7K
This provider vs. median0.1×
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 | 13 | $478.88 | |
| 2022 | 14 | $239.44 | |
| 2024incomplete | 36 | $201.27 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 78% | 27 | 25 | $718.32 |
| 94726 | 9.8% | 12 | 12 | $89.80 | |
| 94729 | 6.3% | 12 | 12 | $57.49 | |
| 94010 | 5.9% | 12 | 12 | $53.98 |
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.