NP / PA
Dubois Regional Medical Group, PC
Dubois Regional Medical Group, PC was paid $26K by Medicaid between Nov 2020 and Nov 2022, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoDUBOIS REGIONAL MEDICAL GROUP, PC
DUBOIS, PA 15801
DUBOIS, PA 15801
33aNPI1659467199assigned 10/04/2006
33bProvider typePhysician Assistant
28Total paid$26K
24GClaims633
24DCodes billed11
24AFirst – last monthNov 2020 – Nov 2022
Compared with peers
Next to other Physician Assistant providers in Pennsylvania
Rank by total paid#151 of 511
Median peer was paid$7K
This provider vs. median4.0×
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 | 37 | $2K | |
| 2021 | 321 | $14K | |
| 2022 | 275 | $10K |
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 | 44% | 333 | 316 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 51 | 50 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 38 | 38 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 38 | 38 | $3K |
| 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 | 8.1% | 41 | 39 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 12 | 12 | $994.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 37 | 26 | $478.39 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 12 | 12 | $450.69 |
| 92551 | <1% | 31 | 31 | $154.24 | |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | 12 | $129.00 |
| 99173 | <1% | 28 | 28 | $114.96 |
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 officialSUTIKA, JOHN (PRESIDENT)
Parent organizationPENN HIGHLANDS DUBOIS
| Provider | Location | Paid |
|---|---|---|
| Dubois Regional Medical Center | Du Bois, PA | $168K |
| Dubois Regional Medical Group, PC | Clearfield, PA | $101K |
| Dubois Regional Medical Group, PC | Du Bois, PA | $52K |
| Dubois Regional Medical Group, PC | Du Bois, PA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.