Arthritis Group PC

Arthritis Group PC was paid $65K by Medicaid between Oct 2020 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoARTHRITIS GROUP PC
PHILA, PA 19152

33aNPI1700823838assigned 05/31/2006

33bProvider typeRheumatology Physician

28Total paid$65K

24GClaims3,089

24DCodes billed6

24AFirst – last monthOct 2020 – Dec 2024

Compared with peers

Next to other Rheumatology Physician providers in Pennsylvania

Rank by total paid#15 of 77

Median peer was paid$7K

This provider vs. median9.8×

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	95	$2K
2021	462	$11K
2022	916	$17K
2023	1,088	$21K
2024incomplete	528	$14K

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	79%	2,293	1,937	$52K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	562	506	$10K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.8%	144	139	$3K
99442		<1%	27	24	$302.82
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	37	27	$47.48
J1020	Injection, methylprednisolone acetate, 20 mg	0%	26	26	$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 officialUDELL, JAMES (PHYSICIAN)