NP / PA
Dubois Regional Medical Group, PC
Dubois Regional Medical Group, PC was paid $101K by Medicaid between Jan 2018 and Feb 2023, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoDUBOIS REGIONAL MEDICAL GROUP, PC
CLEARFIELD, PA 16830
CLEARFIELD, PA 16830
33aNPI1770741456assigned 05/29/2008
33bProvider typeNurse Practitioner
28Total paid$101K
24GClaims2,959
24DCodes billed20
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#48 of 372
Median peer was paid$7K
This provider vs. median15×
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 | 45 | $598.62 | |
| 2019 | 13 | $108.84 | |
| 2020 | 216 | $6K | |
| 2021 | 1,390 | $44K | |
| 2022 | 1,170 | $45K | |
| 2023 | 125 | $5K |
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 | 37% | 1,032 | 956 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 22% | 255 | 254 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 21% | 276 | 267 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 68 | 68 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 88 | 80 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 27 | 27 | $2K |
| 92551 | 1.9% | 326 | 324 | $2K | |
| 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 | 1.6% | 92 | 81 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 97 | 69 | $1K |
| 99173 | 1.2% | 280 | 278 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 66 | 66 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 183 | 163 | $1K |
8 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 19 | $723.19 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 35 | $406.68 |
| G0008 | Administration of influenza virus vaccine | <1% | 24 | $262.60 |
| 99188 | <1% | 14 | $155.88 | |
| 90698 | <1% | 13 | $134.00 | |
| 90670 | <1% | 14 | $130.00 | |
| 96127 | <1% | 36 | $107.28 | |
| 96161 | <1% | 14 | $44.12 |
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 officialSUTIKA, JOHN (AUTHORIZED OFFICIAL & SECRETARY)
Parent organizationPENN HIGHLANDS HEALTHCARE
| Provider | Location | Paid |
|---|---|---|
| Dubois Regional Medical Center | Du Bois, PA | $168K |
| Dubois Regional Medical Group, PC | Du Bois, PA | $52K |
| Dubois Regional Medical Group, PC | Dubois, PA | $26K |
| Dubois Regional Medical Group, PC | Du Bois, PA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.