Physician
Medical Associates of Erie
Medical Associates of Erie was paid $430K by Medicaid between Jan 2018 and Nov 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoMEDICAL ASSOCIATES OF ERIE
ERIE, PA 16505
ERIE, PA 16505
33aNPI1649205816assigned 07/12/2006
33bProvider typeHospitalist Physician
28Total paid$430K
24GClaims32,515
24DCodes billed55
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Hospitalist Physician providers in Pennsylvania
Rank by total paid#8 of 130
Median peer was paid$4K
This provider vs. median111×
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 | 2,664 | $25K | |
| 2019 | 2,284 | $27K | |
| 2020 | 3,815 | $40K | |
| 2021 | 10,737 | $91K | |
| 2022 | 7,706 | $104K | |
| 2023 | 2,743 | $75K | |
| 2024incomplete | 2,566 | $69K |
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% | 7,876 | 7,141 | $211K |
| 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 | 9.2% | 1,342 | 1,295 | $40K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 7.4% | 2,440 | 2,237 | $32K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.7% | 667 | 343 | $20K |
| 92134 | 4.1% | 800 | 771 | $18K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.1% | 362 | 346 | $18K |
| V2020 | Frames, purchases | 3.1% | 587 | 458 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.1% | 370 | 356 | $13K |
| 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 | 2.9% | 168 | 165 | $12K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.9% | 926 | 836 | $12K |
| 92133 | 1.3% | 212 | 208 | $6K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.2% | 199 | 92 | $5K |
43 more codes
| 98928 | <1% | 124 | $4K | |
| 11721 | <1% | 577 | $4K | |
| 99307 | <1% | 497 | $3K | |
| 90688 | <1% | 211 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 100 | $2K |
| 92551 | <1% | 283 | $2K | |
| 92015 | Determination of refractive state | <1% | 431 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 323 | $1K |
| 98927 | <1% | 37 | $961.88 | |
| 90686 | <1% | 134 | $952.05 | |
| 98929 | <1% | 67 | $822.86 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 16 | $812.16 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 198 | $770.00 |
| 99252 | <1% | 15 | $768.10 | |
| 99173 | <1% | 213 | $619.41 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 465 | $593.59 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | $461.76 |
| 36415 | Collection of venous blood by venipuncture | <1% | 397 | $459.93 |
| 3074F | <1% | 1,667 | $450.00 | |
| 3078F | <1% | 776 | $310.00 | |
| 99051 | <1% | 12 | $232.68 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 57 | $210.00 |
| 3079F | <1% | 155 | $80.00 | |
| 96127 | <1% | 28 | $78.51 | |
| 99497 | <1% | 108 | $77.45 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 230 | $0.00 |
| 1036F | 0% | 321 | $0.00 | |
| 1111F | 0% | 574 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 141 | $0.00 |
| 1170F | 0% | 174 | $0.00 | |
| 90674 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| 1160F | 0% | 3,065 | $0.00 | |
| 1159F | 0% | 2,987 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,308 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 188 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 423 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 144 | $0.00 |
| 99326 | 0% | 14 | $0.00 | |
| 90715 | 0% | 18 | $0.00 | |
| 99334 | 0% | 13 | $0.00 | |
| 90734 | 0% | 21 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 15 | $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 officialMCGAHEN, TIMOTHY (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Corry Memorial Hospital Association | Corry, PA | $3.97M |
| Corry Memorial Hospital Association | Corry, PA | $2.03M |
| Corry Memorial Hospital Association | Union City, PA | $1.41M |
| Corry Memorial Hospital Association | Corry, PA | $84K |
| Corry Memorial Hospital Association | Clymer, NY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.