Physician
Hughes, Jane
Hughes, Jane was paid $244K by Medicaid between Apr 2018 and Nov 2024, across 8 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 27% of everything it billed.
33Billing provider infoHUGHES, JANE
CRANBERRY TWP, PA 16066
CRANBERRY TWP, PA 16066
33aNPI1942396239assigned 10/05/2006
33bProvider typeOphthalmology Physician
28Total paid$244K
24GClaims6,727
24DCodes billed8
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Pennsylvania
Rank by total paid#32 of 288
Median peer was paid$7K
This provider vs. median35×
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 | |
|---|---|---|---|
| 2018 | 12 | $436.32 | |
| 2020 | 224 | $6K | |
| 2021 | 1,372 | $51K | |
| 2022 | 1,655 | $62K | |
| 2023 | 1,859 | $62K | |
| 2024incomplete | 1,605 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 27% | 662 | 646 | $65K |
| 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 | 25% | 1,229 | 1,172 | $61K |
| 92060 | 24% | 1,580 | 1,547 | $59K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 880 | 845 | $31K |
| 92015 | Determination of refractive state | 7.2% | 2,114 | 2,085 | $18K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.3% | 75 | 75 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.9% | 87 | 84 | $5K |
| 99072 | <1% | 100 | 100 | $430.50 |
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.