University of Penn-Medical Group
University of Penn-Medical Group was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoUNIVERSITY OF PENN-MEDICAL GROUP
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
33aNPI1316335425assigned 12/26/2014
33bProvider typeOptometrist
28Total paid$1.55M
24GClaims43,624
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#9 of 983
Median peer was paid$20K
This provider vs. median77×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JACKSON, CHANTE controls 20+ related entities in our dataset. Read more
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 | 652 | $5K | |
| 2019 | 605 | $9K | |
| 2020 | 3,129 | $87K | |
| 2021 | 11,136 | $383K | |
| 2022 | 9,936 | $355K | |
| 2023 | 9,844 | $398K | |
| 2024incomplete | 8,322 | $316K |
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 | 31% | 9,531 | 9,019 | $486K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 4,655 | 4,475 | $280K |
| 92134 | 10.0% | 5,715 | 5,529 | $155K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 8.3% | 954 | 835 | $129K |
| V2020 | Frames, purchases | 7.1% | 3,853 | 2,656 | $110K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 2,037 | 1,909 | $80K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.1% | 2,372 | 799 | $64K |
| 92083 | 3.5% | 1,106 | 1,061 | $55K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.1% | 1,172 | 1,124 | $48K |
| 92133 | 1.9% | 1,082 | 1,060 | $30K | |
| V2760 | Scratch resistant coating, per lens | 1.9% | 2,885 | 1,051 | $29K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.4% | 132 | 130 | $22K |
17 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 176 | $15K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 251 | $14K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 231 | $10K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 12 | $9K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 6,092 | $6K |
| 92020 | <1% | 303 | $4K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 305 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 55 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 38 | $1K |
| 92136 | <1% | 73 | $976.08 | |
| 92250 | <1% | 38 | $829.79 | |
| 92002 | <1% | 16 | $579.05 | |
| 92025 | <1% | 25 | $410.90 | |
| 92285 | <1% | 14 | $178.33 | |
| 92015 | Determination of refractive state | <1% | 474 | $115.34 |
| 76514 | <1% | 14 | $112.87 | |
| J0178 | Injection, aflibercept, 1 mg | 0% | 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.
From NPPES
Who's on the registration
Authorized officialJACKSON, CHANTE (ENROLLMENT LEAD)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.