Pennsylvania HM Associates PC

Pennsylvania HM Associates PC was paid $812K by Medicaid between Dec 2019 and Nov 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 61% of everything it billed.

33Billing provider infoPENNSYLVANIA HM ASSOCIATES PC
EAST STROUDSBURG, PA 18301

33aNPI1841637865assigned 05/31/2013

33bProvider typeNurse Practitioner

28Total paid$812K

24GClaims18,177

24DCodes billed8

24AFirst – last monthDec 2019 – Nov 2024

Compared with peers

Next to other Nurse Practitioner providers in Pennsylvania

Rank by total paid#10 of 372

Median peer was paid$7K

This provider vs. median118×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ISTVAN, DAVID controls 20+ related entities in our dataset. Read more

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
2019	13	$0.00
2020	46	$1K
2021	365	$16K
2022	2,982	$107K
2023	8,228	$383K
2024incomplete	6,543	$304K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	61%	12,752	4,870	$493K
99223	Prolong inpt eval add15 m	20%	1,895	1,823	$161K
99239	Hospital discharge day management, more than 30 minutes	9.9%	1,422	1,369	$80K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	8.9%	1,825	781	$73K
99238	Hospital discharge day management, 30 minutes or less	<1%	105	97	$3K
99217		<1%	115	58	$661.47
99220		<1%	50	25	$568.02
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	13	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 officialISTVAN, DAVID (PRESIDENT)

Same official

Other billing entities under ISTVAN, DAVID

Full network →

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.