Pocono Podiatry and Wound Care, LLC.
Pocono Podiatry and Wound Care, LLC. was paid $36K by Medicaid between Oct 2020 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPOCONO PODIATRY AND WOUND CARE, LLC.
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
33aNPI1326277492assigned 07/09/2009
33bProvider typeFoot Surgery Podiatrist
28Total paid$36K
24GClaims1,690
24DCodes billed5
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other Foot Surgery Podiatrist providers in Pennsylvania
Rank by total paid#3 of 38
Median peer was paid$6K
This provider vs. median6.5×
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 | 73 | $2K | |
| 2021 | 484 | $8K | |
| 2022 | 247 | $4K | |
| 2023 | 520 | $14K | |
| 2024incomplete | 366 | $8K |
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 | 40% | 540 | 513 | $14K |
| 11056 | 22% | 340 | 329 | $8K | |
| 99243 | 20% | 100 | 96 | $7K | |
| 11721 | 18% | 687 | 663 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 23 | 12 | $38.32 |
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 officialMATIN, TANJILA (OWNER)