Physician
Semeyn, Janice
Semeyn, Janice was paid $236K by Medicaid between Apr 2018 and Dec 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
33Billing provider infoSEMEYN, JANICE
CLARION, PA 16214
CLARION, PA 16214
33aNPI1669441127assigned 03/16/2006
33bProvider typeFamily Medicine Physician
28Total paid$236K
24GClaims10,196
24DCodes billed23
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#306 of 2,756
Median peer was paid$19K
This provider vs. median12×
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 | 13 | $188.16 | |
| 2020 | 118 | $2K | |
| 2021 | 1,068 | $26K | |
| 2022 | 2,440 | $61K | |
| 2023 | 3,526 | $75K | |
| 2024incomplete | 3,031 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 69% | 1,596 | 1,526 | $164K |
| 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 | 19% | 1,348 | 1,302 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 1,250 | 1,212 | $23K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 208 | 208 | $890.18 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 58 | 57 | $841.50 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 63 | 63 | $792.00 |
| G0008 | Administration of influenza virus vaccine | <1% | 55 | 55 | $436.52 |
| 99173 | <1% | 240 | 239 | $410.68 | |
| 92551 | <1% | 180 | 180 | $364.75 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 13 | $188.16 |
| 90686 | <1% | 27 | 26 | $75.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,135 | 1,095 | $0.00 |
11 more codes
| 3079F | 0% | 505 | $0.00 | |
| 1036F | 0% | 14 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 13 | $0.00 |
| 3075F | 0% | 71 | $0.00 | |
| 3074F | 0% | 1,292 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 13 | $0.00 |
| 3078F | 0% | 1,069 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 957 | $0.00 |
| 96160 | 0% | 49 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 26 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 14 | $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.