Physician
Mon-Vale Specialty Practices, INC
Mon-Vale Specialty Practices, INC was paid $13K by Medicaid between Jul 2020 and Jun 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.
33Billing provider infoMON-VALE SPECIALTY PRACTICES, INC
MONONGAHELA, PA 15063
MONONGAHELA, PA 15063
33aNPI1356695720assigned 11/06/2012
33bProvider typeCardiovascular Disease Physician
28Total paid$13K
24GClaims707
24DCodes billed6
24AFirst – last monthJul 2020 – Jun 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Pennsylvania
Rank by total paid#161 of 592
Median peer was paid$3K
This provider vs. median4.2×
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 | 219 | $3K | |
| 2021 | 285 | $7K | |
| 2022 | 128 | $2K | |
| 2023 | 31 | $952.95 | |
| 2024incomplete | 44 | $458.50 |
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 | 83% | 345 | 319 | $11K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.9% | 159 | 145 | $1K |
| 81025 | 4.3% | 132 | 127 | $558.88 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.5% | 28 | 26 | $323.89 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 13 | 12 | $262.00 |
| 99459 | 0% | 30 | 30 | $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 officialSIMMON, DANIEL (SECRETARY/TREASURER)