Physician
Mon-Vale Primary Care Practices INC
Mon-Vale Primary Care Practices INC was paid $9K by Medicaid between Oct 2020 and Aug 2023, across 9 billing codes. Its largest line is 99490, Ccm add 20min — 44% of everything it billed.
33Billing provider infoMON-VALE PRIMARY CARE PRACTICES INC
ROSTRAVER TOWNSHIP, PA 15012
ROSTRAVER TOWNSHIP, PA 15012
33aNPI1669715843assigned 04/05/2013
33bProvider typeInternal Medicine Physician
28Total paid$9K
24GClaims1,038
24DCodes billed9
24AFirst – last monthOct 2020 – Aug 2023
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#783 of 1,726
Median peer was paid$6K
This provider vs. median1.4×
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 | 92 | $48.39 | |
| 2021 | 734 | $7K | |
| 2022 | 129 | $3K | |
| 2023 | 83 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99490 | Ccm add 20min | 44% | 529 | 509 | $4K |
| 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 | 36% | 69 | 69 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 52 | 51 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.3% | 12 | 12 | $215.10 |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | 12 | $15.45 |
| 3008F | 0% | 276 | 263 | $0.00 | |
| 3074F | 0% | 17 | 17 | $0.00 | |
| 3078F | 0% | 15 | 15 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 56 | 56 | $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 officialSIMMONS, DANIEL (SECRETATY/TREASURER)