Emswiler, Kelly

Emswiler, Kelly was paid $1.06M by Medicaid between Mar 2023 and Dec 2024, across 5 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 79% of everything it billed.

33Billing provider infoEMSWILER, KELLY
JOHNSTOWN, PA 15904

33aNPI1396275962assigned 06/15/2017

33bProvider typeNurse Practitioner

28Total paid$1.06M

24GClaims8,836

24DCodes billed5

24AFirst – last monthMar 2023 – Dec 2024

Compared with peers

Next to other Nurse Practitioner providers in Pennsylvania

Rank by total paid#8 of 372

Median peer was paid$7K

This provider vs. median154×

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
2023	2,793	$369K
2024incomplete	6,043	$691K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9012	Other specified case management service not elsewhere classified	79%	2,737	2,736	$833K
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	15%	2,936	2,417	$160K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.1%	1,103	1,024	$43K
80305		1.9%	1,818	1,538	$20K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	242	228	$3K

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.