Physician
Pottstown Medical Specialists INC
Pottstown Medical Specialists INC was paid $5K by Medicaid between Mar 2021 and Jul 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoPOTTSTOWN MEDICAL SPECIALISTS INC
ROYERSFORD, PA 19468
ROYERSFORD, PA 19468
33aNPI1376667790assigned 03/19/2007
33bProvider typeFamily Medicine Physician
28Total paid$5K
24GClaims166
24DCodes billed3
24AFirst – last monthMar 2021 – Jul 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,923 of 2,756
Median peer was paid$19K
This provider vs. median0.3×
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 | 77 | $1K | |
| 2022 | 72 | $4K | |
| 2024incomplete | 17 | $110.00 |
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% | 89 | 81 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 29 | 26 | $1K |
| 99072 | 0% | 48 | 38 | $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 officialENOCHS, SHANA (CREDENTIALING SPECIALIST)
Parent organizationPOTTSTOWN MEDICAL SPECIALISTS
| Provider | Location | Paid |
|---|---|---|
| Pmsi Collegeville Family Practice | Collegeville, PA | $68K |
| Pmsi Division of Pulmonary | Pottstown, PA | $31K |
| Pmsi Division of Cardiology | Pottstown, PA | $9K |
| Brookside Family Practice & Pediatrics | Pottstown, PA | $8K |
| Pottstown Medical Specialists INC | Boyertown, PA | $54.42 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.