JEFFREY TAYLOR SIEVERING, PA-C, MMS
NPI 1831253517, individual, Somers, CT, Physician Assistant
- Hours beyond a day in 1 month, but with up to 244 patients a month across 3 billing organizations, 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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 25.8 | 3.8 | 2.5 | 3.7 | 244 | 3 | 99203 99204 99212 99213 99214 | $13K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JEFFREY TAYLOR SIEVERING, PA-C, MMS |
| Type | Individual |
| Status | Active |
| NPI issued | December 20, 2006, last updated March 15, 2023 |
| Practice location | 25 SOMERS HILL CIR, Somers, CT 06071-1928, 860-763-0349 |
| Specialties | Physician Assistant, Medical (363AM0700X, license 1377 CT) Physician Assistant, Medical (363AM0700X, license PA02128 TX) Physician Assistant (363A00000X, primary, license 1377 CT) |
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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $163K | 53% | $60 | $60 (top 5% from $133) | 50th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $80K | 26% | $81 | $95 (top 5% from $171) | 33rd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $28K | 9% | $44 | $44 (top 5% from $110) | 50th percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $18K | 6% | $41 | $44 (top 5% from $70) | 38th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $6K | 2% | $50 | $67 (top 5% from $121) | too few months to rank | |
| 99051 | Medicaid service code | $4K | 1% | $5.97 | $6.71 (top 5% from $30) | 44th percentile | |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $4K | 1% | $9.90 | $12 (top 5% from $18) | 34th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $2K | 1% | $74 | $88 (top 5% from $210) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 163 | 147 | $8K | $143 | $81 | 1.8x | 2.2x (90th percentile 3.8x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 85 | 83 | $6K | $210 | $113 | 1.9x | 2.3x (90th percentile 3.8x) |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 31 | 30 | $2K | $65 | $50 | 1.3x | 2.4x (90th percentile 3.7x) |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 37 | 36 | $1K | $86 | $50 | 1.7x | 2.2x (90th percentile 3.8x) |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 11 | 11 | $1K | $137 | $94 | 1.5x | 2.1x (90th percentile 3.7x) |
| 81002 | Urinalysis, manual test | 44 | 39 | $150 | $12 | $3 | 3.5x | 3.5x (90th percentile 7.6x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Somers, CT carry an indicator in the public record, with $27K at stake between them. The most common is named in an enforcement record, on 1 of them, followed by more hours than a day holds on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DENNIS TOMCZAK Vernon, CT, ranked 472 | $0 |
|
| 4 | ERIN JOUDREY Hebron, CT, ranked 9691 | $27K |
|
Recent enforcement in CT
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.