Clearfield-Jefferson Primary Care Associates PC

Clearfield-Jefferson Primary Care Associates PC was paid $648K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 39% of everything it billed.

33Billing provider infoCLEARFIELD-JEFFERSON PRIMARY CARE ASSOCIATES PC
DU BOIS, PA 15801

33aNPI1710233895assigned 07/26/2012

33bProvider typeFamily Medicine Physician

28Total paid$648K

24GClaims43,248

24DCodes billed31

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#100 of 2,756

Median peer was paid$19K

This provider vs. median34×

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	1,827	$29K
2019	2,199	$42K
2020	1,539	$10K
2021	7,341	$83K
2022	8,267	$109K
2023	9,590	$152K
2024incomplete	12,485	$223K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	39%	15,388	12,722	$250K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	7,178	6,330	$217K
99490	Ccm add 20min	18%	10,392	10,163	$116K
80305		2.3%	1,279	1,164	$15K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.1%	291	283	$14K
99491	Ccm add 20min	2.0%	429	421	$13K
G0444	Annual depression screening, 5 to 15 minutes	<1%	773	756	$3K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	739	724	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	153	142	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	102	100	$3K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	41	40	$2K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	102	85	$2K

19 more codes

99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	71	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	121	$1K
99214	Doctor's office visit, returning patient (more involved)	<1%	28	$1K
99305		<1%	56	$725.28
99439		<1%	279	$642.80
99173		<1%	76	$411.90
3079F		<1%	633	$300.00
92551		<1%	36	$280.80
3074F		<1%	1,564	$200.00
3078F		<1%	1,197	$195.00
G0008	Administration of influenza virus vaccine	<1%	12	$104.00
3075F		<1%	154	$90.00
36415	Collection of venous blood by venipuncture	<1%	45	$78.00
3077F		<1%	41	$30.00
1003F		0%	228	$0.00
3008F		0%	1,505	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	309	$0.00
3080F		0%	14	$0.00
J1885	Injection, ketorolac tromethamine, per 15 mg	0%	12	$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 officialROSCOE, BRANDON (OWNER)