Jefferson Surgical Clinic INC
Jefferson Surgical Clinic INC was paid $154K by Medicaid between Jan 2018 and Dec 2022, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoJEFFERSON SURGICAL CLINIC INC
ROANOKE, VA 24016
ROANOKE, VA 24016
33aNPI1447286810assigned 06/25/2006
33bProvider typeSpecialist
28Total paid$154K
24GClaims6,515
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#75 of 231
Median peer was paid$47K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2018 | 458 | $5K | |
| 2019 | 1,523 | $29K | |
| 2020 | 1,121 | $30K | |
| 2021 | 1,748 | $44K | |
| 2022 | 1,665 | $47K |
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 | 49% | 2,687 | 2,188 | $76K |
| 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 | 38% | 1,421 | 1,208 | $59K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.0% | 171 | 139 | $8K |
| 81000 | 2.8% | 1,825 | 1,526 | $4K | |
| 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 | 2.1% | 49 | 45 | $3K |
| 95117 | 1.3% | 310 | 110 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | 12 | $1K |
| 93926 | <1% | 14 | 14 | $888.73 | |
| 92567 | <1% | 13 | 12 | $166.26 | |
| 51798 | <1% | 13 | 12 | $70.13 |
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 officialBOWEN, SHANNON (BILLING MANAGER)