Cummings, Joyce

Cummings, Joyce was paid $71K by Medicaid between Jan 2018 and Nov 2018, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoCUMMINGS, JOYCE
SALEM, VA 24153

33aNPI1750367215assigned 12/16/2005

33bProvider typePediatrics Physician

28Total paid$71K

24GClaims1,659

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#278 of 817

Median peer was paid$29K

This provider vs. median2.4×

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
2018	1,659	$71K

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	56%	715	664	$40K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	21%	205	189	$15K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.1%	62	62	$5K
90670		3.4%	102	101	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	3.1%	164	163	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.6%	25	25	$2K
90686		2.3%	143	140	$2K
90648		1.4%	78	78	$992.69
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.4%	71	70	$991.65
90723		<1%	27	27	$372.65
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	54	52	$155.19
90472	Immunization administration, each additional vaccine (list separately)	<1%	13	13	$34.65

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.