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NPI 1487964219 · Clearfield, PA · Physician Assistant
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Jonelle Ensor is a physician assistant provider located in Clearfield, Pennsylvania. This profile covers 7 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jonelle Ensor |
| Address | 1036 Park Avenue Ext |
| City | Clearfield |
| State | PA |
| ZIP | 16830 |
| Taxonomy | Physician Assistant |
| NPI Enumerated | October 14, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $12.3K |
| Medicaid | $1.7K |
This provider’s Medicare revenue ($12.3K) dwarfs its Medicaid revenue ($1.7K), indicating Medicare is the primary payer relationship on file rather than Medicaid. Both payers are present in the record, but Medicare represents the dominant revenue stream for this clinician in absolute dollars.
Medicare revenue is highly concentrated in office/E&M and preventive codes: 99203, 99213, and G0439 together account for 84.3% of this provider’s total Medicare revenue. That mix—new patient visits (99203), established patient visits (99213), and annual wellness visits (G0439)—is consistent with a routine ambulatory care / primary-care-oriented practice model focused on evaluation & management and preventive visits.
On Medicaid, revenue is entirely concentrated by the precomputed top-three share (100.0%), with 99213 and 99212 accounting for the paid Medicaid services of record and 3008F showing activity but $0 revenue. The Medicaid claims are split between low-level established visit codes (99213: 28 claims, $33 avg paid/claim, $924 revenue; 99212: 30 claims, $27 avg paid/claim, $810 revenue), suggesting Medicaid activity is limited to short established-office encounters.
The provider’s highest single Medicare code by revenue is 99203 (77 claims, $67 avg paid/claim, $5.2K revenue, 42.1% of Medicare revenue) and it ranks #30291 of 161519 nationally (81th percentile) where the peer label is "typical, unremarkable volume for this code." This profile points to above-average usage of moderate-complexity new-patient visits relative to the national distribution but still conforms to a typical activity pattern rather than indicating a dominant market position.
Other Medicare CPT/HCPCS in the top list—99213 (55 claims, $3.1K, 25.1% of Medicare revenue) and G0439 (21 claims, $2.1K, 17.1% of Medicare revenue)—also carry the peer characterization "typical, unremarkable volume for this code." Across listed Medicare codes (including preventive screens G0442 and G0444 and vaccine codes 90674/G0008), the provider’s volumes are described as typical in peer comparisons rather than statistical outliers, implying no exceptional deviation in coding intensity versus peers.
State-level Medicaid ranks for the primary Medicaid codes are similarly modest: 99213 ranks #7390 of 8867 in-state (16th percentile) and 99212 ranks #1175 of 1627 in-state (27th percentile), both labeled "typical, unremarkable volume for this code." These percentiles indicate the provider is a modest participant in Medicaid office-visit volumes within the state rather than a high-volume Medicaid clinic.
The presence of preventive-service codes (G0439 annual wellness visit plus screening codes G0442 and G0444) alongside E/M visits and influenza vaccine administration (90674, G0008) signals an operational emphasis on routine preventive care and annual wellness programs. For payers, this suggests the clinician could be suited to value-based or preventive-care initiatives, but the small absolute revenue pool ($12.3K Medicare, $1.7K Medicaid) limits the provider’s financial scale for large-risk contracting.
The NPI was enumerated on 2010-10-14 (~16 years ago), indicating a relatively long tenure in the Medicare/Medicaid environment; combined with the modest and typical code-level rankings, this suggests an established but small-scale ambulatory practice rather than a new entrant or a high-volume specialist.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 80 | $70 | $5.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 60 | $60 | $3.1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | $100 | $2.1K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 60 | $10 | $770 |
| G0444 | Annual depression screening, 5 to 15 minutes | 30 | $10 | $460 |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 10 | $30 | $400 |
| G0008 | Administration of influenza virus vaccine | 10 | $30 | $300 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 30 | $30 | $920 |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 30 | $30 | $810 |
| 3008F | No Summary found for this code | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 7,390 | 8,870 | 240 | $40 | $56.1K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,175 | 1,630 | 90 | $30 | $22K |
| 3008F | No Summary found for this code | 1,359 | 1,640 | 130 | $1 | $90 |
Other providers in the same ZIP code as Jonelle Ensor, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Darren Smeal | PA | Internal Medicine Physician | $379.6K | $61.6K |
| David Obley | PA | Diagnostic Radiology Physician | $113K | $75.6K |
| George Mosch | PA | Family Medicine Physician | $145.1K | $660 |
| Discovery House Cu, LLC | PA | Methadone Clinic | $111.9K | $0 |
| Gregory Mieckowski | PA | Diagnostic Radiology Physician | $50.4K | $9.9K |
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