JEAN M STORM, DO
NPI 1033172762, individual, Erie, PA, Internal Medicine
- Hours beyond a day in 1 month, but with up to 510 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds at a conservative unit price | 20.9 | 42.0 | 28.0 | 37.7 | 510 | 1 | 99308 99309 | $28K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JEAN M STORM, DO |
| Type | Individual |
| Status | Active |
| NPI issued | April 12, 2006, last updated April 29, 2019 |
| Practice location | 5535 PEACH ST, Erie, PA 16509-2603, 814-868-3488 |
| Mailing address | PO BOX 88, 5 E ALVON ROAD STE. 7, White Sulphur Springs, WV 24986-2373 |
| Specialties | Internal Medicine (207R00000X, primary, license OS012160 PA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $34K | 53% | $34 | $21 (top 5% from $84) | 75th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $28K | 43% | $23 | $14 (top 5% from $58) | 72nd percentile | |
| 99497 | Advance care planning, first 30 minutes | $2K | 3% | $40 | $11 (top 5% from $62) | too few months to rank | |
| 99315 | Nursing facility discharge day management, 30 minutes or less | $304 | 0% | $25 | $22 (top 5% from $55) | too few months to rank | |
| 99316 | Nursing facility discharge management, more than 30 minutes | $246 | 0% | $19 | $38 (top 5% from $83) | too few months to rank | |
| 99358 | Medicaid service code | $234 | 0% | $4.88 | $18 (top 5% from $94) | too few months to rank | |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $121 | 0% | $10 | $6.11 (top 5% from $38) | too few months to rank |
In this area
2 providers in Erie County, PA carry an indicator in the public record, with $984 at stake between them. The most common is paid after a public list action, on 1 of them, followed by named in an enforcement record on 1. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JOSEPH THOMAS Erie, PA, ranked 396 | $984 |
|
| 1 | AARON HERTEL Erie, PA, ranked 470 | $0 |
|
Recent enforcement in PA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.