Johns, Lee

Johns, Lee was paid $419K by Medicaid between Sep 2020 and Mar 2024, across 8 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 75% of everything it billed.

33Billing provider infoJOHNS, LEE
JEFFERSON HILLS, PA 15025

33aNPI1518440288assigned 09/10/2018

33bProvider typeFamily Nurse Practitioner

28Total paid$419K

24GClaims3,453

24DCodes billed8

24AFirst – last monthSep 2020 – Mar 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Pennsylvania

Rank by total paid#42 of 1,075

Median peer was paid$8K

This provider vs. median50×

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	260	$3K
2021	126	$17K
2022	1,073	$144K
2023	1,891	$250K
2024incomplete	103	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9012	Other specified case management service not elsewhere classified	75%	1,152	1,151	$316K
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	16%	1,201	1,116	$66K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.0%	534	498	$21K
99309	Subsequent nursing facility care, per day, low to moderate complexity	2.0%	176	145	$9K
99308	Subsequent nursing facility care, per day, straightforward	1.1%	109	89	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	220	212	$3K
80305		<1%	21	21	$250.23
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	40	39	$131.36

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.