Miksiewicz Clugston, Tory

Miksiewicz Clugston, Tory was paid $122K by Medicaid between Aug 2020 and Nov 2024, across 4 billing codes. Its largest line is S9083, Global fee urgent care centers — 91% of everything it billed.

33Billing provider infoMIKSIEWICZ CLUGSTON, TORY
BLANDON, PA 19510

33aNPI1891107140assigned 05/21/2014

33bProvider typeFamily Medicine Physician

28Total paid$122K

24GClaims1,598

24DCodes billed4

24AFirst – last monthAug 2020 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#549 of 2,756

Median peer was paid$19K

This provider vs. median6.4×

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
2020	77	$9K
2021	549	$44K
2022	319	$22K
2023	433	$32K
2024incomplete	220	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S9083	Global fee urgent care centers	91%	860	831	$111K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.4%	663	639	$10K
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%	39	38	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	0%	36	35	$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.