Jefferson University Physicians
Jefferson University Physicians was paid $2.09M by Medicaid between Aug 2020 and Nov 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoJEFFERSON UNIVERSITY PHYSICIANS
PHILADELPHIA, PA 19106
PHILADELPHIA, PA 19106
33aNPI1437425360assigned 03/26/2012
33bProvider typeNutritionist
28Total paid$2.09M
24GClaims55,279
24DCodes billed40
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other Nutritionist providers in Pennsylvania
Rank by total paid#1 of 8
Median peer was paid$9K
This provider vs. median235×
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 | 2,702 | $101K | |
| 2021 | 13,071 | $461K | |
| 2022 | 13,449 | $446K | |
| 2023 | 14,779 | $569K | |
| 2024incomplete | 11,278 | $509K |
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 | 37% | 19,462 | 18,063 | $772K |
| 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 | 23% | 9,003 | 8,792 | $484K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 14% | 3,464 | 3,389 | $293K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 4,660 | 4,529 | $227K |
| S9470 | Nutritional counseling, dietitian visit | 5.9% | 3,337 | 3,184 | $123K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.7% | 25 | 25 | $36K |
| 87210 | 1.2% | 2,577 | 2,324 | $25K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,151 | 1,149 | $12K |
| 0502F | <1% | 4,183 | 3,714 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 386 | 381 | $11K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 110 | 109 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 109 | 95 | $9K |
28 more codes
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 464 | $8K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 246 | $8K |
| 99459 | <1% | 411 | $6K | |
| 64615 | <1% | 56 | $6K | |
| 83986 | <1% | 2,284 | $5K | |
| 90686 | <1% | 667 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 390 | $5K |
| 93000 | <1% | 254 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 265 | $4K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 60 | $3K |
| 99285 | Emergency room visit (most serious) | <1% | 58 | $3K |
| 99350 | Prolong home eval add 15m | <1% | 56 | $3K |
| 90715 | <1% | 414 | $2K | |
| 11900 | <1% | 84 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 74 | $2K |
| 59025 | Fetal non-stress test | <1% | 67 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 25 | $966.65 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $781.20 |
| 90656 | <1% | 45 | $599.15 | |
| 90677 | <1% | 13 | $403.72 | |
| 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% | 31 | $345.02 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $279.60 |
| 95251 | <1% | 13 | $215.84 | |
| 0501F | <1% | 53 | $143.10 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $64.80 |
| 82962 | <1% | 27 | $52.34 | |
| 3008F | 0% | 650 | $0.00 | |
| 1220F | 0% | 69 | $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 officialOGUNKEYE, JOHN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Thomas Jefferson University Psych | Philadelphia, PA | $3.72M |
| Jefferson University Physicians | Philadelphia, PA | $2K |
| Jefferson University Physicians | Philadelphia, PA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.