Professional Neurological Associates PC
Professional Neurological Associates PC was paid $114K by Medicaid between Oct 2020 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoPROFESSIONAL NEUROLOGICAL ASSOCIATES PC
DUNMORE, PA 18512
DUNMORE, PA 18512
33aNPI1689604332assigned 07/05/2006
33bProvider typeSpecialist
28Total paid$114K
24GClaims2,412
24DCodes billed7
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#84 of 543
Median peer was paid$16K
This provider vs. median7.2×
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 | 101 | $4K | |
| 2021 | 609 | $26K | |
| 2022 | 555 | $27K | |
| 2023 | 688 | $40K | |
| 2024incomplete | 459 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 73% | 2,124 | 2,077 | $83K |
| 99205 | Prolong outpt/office vis | 14% | 149 | 149 | $16K |
| 95913 | 7.1% | 40 | 40 | $8K | |
| 95886 | 5.6% | 53 | 52 | $6K | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 16 | 16 | $0.00 |
| 1036F | 0% | 16 | 16 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | 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.
From NPPES
Who's on the registration
Authorized officialDHADUK, VITHALBHAI (PRESIDENT)