Medical Profesional Service, PC

Medical Profesional Service, PC was paid $74K by Medicaid between Dec 2020 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoMEDICAL PROFESIONAL SERVICE, PC
KINGSTON, PA 18704

33aNPI1821136227assigned 02/01/2007

33bProvider typeGeneral Practice Physician

28Total paid$74K

24GClaims2,217

24DCodes billed3

24AFirst – last monthDec 2020 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in Pennsylvania

Rank by total paid#19 of 57

Median peer was paid$29K

This provider vs. median2.6×

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	39	$2K
2021	401	$20K
2022	387	$11K
2023	822	$22K
2024incomplete	568	$20K

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	55%	765	718	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	717	522	$25K
80305		12%	735	488	$9K

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 officialMERTZ, PHILIP (DIRECTOR OF CLINICAL SERVICES)