Dougherty, John

Dougherty, John was paid $8K by Medicaid between Aug 2022 and Sep 2024, across 3 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 82% of everything it billed.

33Billing provider infoDOUGHERTY, JOHN
WEST READING, PA 19611

33aNPI1902870371assigned 02/14/2006

33bProvider typeObstetrics Physician

28Total paid$8K

24GClaims88

24DCodes billed3

24AFirst – last monthAug 2022 – Sep 2024

Compared with peers

Next to other Obstetrics Physician providers in Pennsylvania

Rank by total paid#12 of 17

Median peer was paid$26K

This provider vs. median0.3×

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
2022	13	$2K
2023	49	$5K
2024incomplete	26	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	82%	63	61	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	13	13	$2K
3078F		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.