Physician
Keith D. Jorgensen, MD, PA
Keith D. Jorgensen, MD, PA was paid $26K by Medicaid between Jan 2018 and May 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoKEITH D. JORGENSEN, MD, PA
DERRY, NH 03038
DERRY, NH 03038
33aNPI1679588339assigned 07/30/2006
33bProvider typeOtolaryngology Physician
28Total paid$26K
24GClaims1,602
24DCodes billed7
24AFirst – last monthJan 2018 – May 2024
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 | 819 | $13K | |
| 2019 | 451 | $6K | |
| 2020 | 112 | $2K | |
| 2022 | 35 | $1K | |
| 2023 | 103 | $3K | |
| 2024incomplete | 82 | $758.79 |
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 | 69% | 829 | 613 | $18K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 13% | 76 | 62 | $3K |
| 95117 | 11% | 628 | 220 | $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 | 4.3% | 29 | 25 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 12 | 12 | $504.62 |
| 92557 | 1.0% | 14 | 12 | $257.94 | |
| V5266 | Battery for use in hearing device | <1% | 14 | 12 | $43.32 |
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 officialJORGENSEN, KEITH (PRESIDENT)