Physician
Elder, Jay
Elder, Jay was paid $243K by Medicaid between Nov 2019 and Dec 2022, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoELDER, JAY
PUNXSUTAWNEY, PA 15767
PUNXSUTAWNEY, PA 15767
33aNPI1881689297assigned 09/13/2005
33bProvider typeInternal Medicine Physician
28Total paid$243K
24GClaims3,940
24DCodes billed7
24AFirst – last monthNov 2019 – Dec 2022
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#108 of 1,726
Median peer was paid$6K
This provider vs. median37×
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 | |
|---|---|---|---|
| 2019 | 38 | $313.50 | |
| 2020 | 365 | $19K | |
| 2021 | 2,292 | $126K | |
| 2022 | 1,245 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 97% | 1,564 | 1,446 | $237K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.5% | 887 | 743 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 445 | 421 | $0.00 |
| 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 | 0% | 136 | 132 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 384 | 372 | $0.00 |
| 3008F | 0% | 512 | 493 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 12 | 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.