Active NPI 1124455266 Individual Practitioner Female Practitioner

Jillian Marie Roush , PA-C

Physician Assistant • West Hazleton, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jillian Roush, PA-C is a certified Physician Assistant practicing in West Hazleton, PA. With approximately 13 years of clinical experience since completing medical education in 2013, Jillian Roush delivers high-quality medical care to the local community at 6 DIANA LN.

Jillian Roush is affiliated with Caring Community Health Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6 Diana Ln

West Hazleton, PA 182021210

Telephone 5705013760

Fax 5705013762

Associated Practice Facility / Clinic

🏢 Geisinger Clinic Facility NPI 1689001778

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in West Hazleton, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +2.0 yrs vs City Avg

City Avg: 11.0 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

2 Specialists

Practicing in West Hazleton, PA (8068 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roush (13 Years) 13 Yrs

West Hazleton Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	35	$200.00	$72.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$298.33	$103.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$308.00	$91.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	128	114	$195.70	$73.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$299.54	$92.72
81003 Automated urinalysis test	25	25	$79.84	$2.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	100	$175.32	$76.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$277.25	$92.03
81003 Automated urinalysis test	26	25	$52.23	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	74	$219.50	$89.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$235.23	$89.82
81002 Urinalysis, manual test	16	14	$70.50	$3.28
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$180.00	$63.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	144	34	$204.00	$77.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	111	32	$146.00	$57.99
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	102	42	$289.00	$114.31
99213 Established patient office or other outpatient visit, typically 15 minutes	57	54	$119.54	$61.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	52	$189.62	$90.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg	47	11	$2.98	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	14	$43.53	$13.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	120	$110.00	$58.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg	120	27	$3.50	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	35	$160.00	$89.39
36415 Insertion of needle into vein for collection of blood sample	33	31	$7.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	22	$40.00	$16.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$115.00	$96.08
G0009 Administration of pneumococcal vaccine	17	17	$45.00	$19.57
81002 Urinalysis, manual test	15	14	$10.00	$3.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$170.00	$141.83
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$127.73	$105.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	273	182	$99.54	$59.42
J1100 Injection, dexamethasone sodium phosphate, 1 mg	204	46	$3.50	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	55	$30.80	$19.94
36415 Insertion of needle into vein for collection of blood sample	55	47	$7.00	$2.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	47	$147.27	$87.09
G0008 Administration of influenza virus vaccine	46	46	$41.96	$24.05
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	46	46	$30.00	$17.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$115.00	$94.72
81002 Urinalysis, manual test	17	16	$10.00	$3.43
G0009 Administration of pneumococcal vaccine	17	17	$27.35	$24.05
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$40.00	$13.86
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$22.00	$14.79
90670 Pneumococcal vaccine for injection into muscle	12	12	$230.00	$185.01
69210 Removal of impacted ear wax	11	11	$140.00	$40.47
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$175.00	$136.31

Medical Specialties & State Licenses

CMS Verified: 2020-08-24

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA056492

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License PA OA003152

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

326497F6K (PA)

Hospital & Practice Group Affiliations

Caring Community Health Center

426 Airport Rd, Hazle Township, PA 182023361

Phone: 5708292621

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Cassandra Yalch , PA-C

Physician Assistant

NPI 1063927820

Physician Assistant (Certified)

Sarah Magula , CRNP

Nurse Practitioner

NPI 1407182447

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location April 30, 2020

Registered at 6 DIANA LN, WEST HAZLETON, PA 182021210 (Tel: 5705013760)

📍

Updated Practice Location March 21, 2019

Registered at 35 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 187071122 (Tel: 5704745978)

📍

Updated Business Mailing Address March 21, 2019

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178224903 (Tel: 5702716144)

✅

NPI Profile Active December 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 23, 2015

Registered at 105 W MAIN ST, VALLEY VIEW, PA 179839423 (Tel: 5706828026)

📍

Updated Business Mailing Address December 23, 2015

Registered at 7 DOCK HILL RD, MIDDLEBURG, PA 178428910 (Tel: 5708372123)

👤

Provider Name / Credentials Updated December 23, 2015

Recorded as JILLIAN ROUSH, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2015

Physician Assistant (License #OA003152 in PA)

🟢

Initial NPI Registration & Enumeration October 03, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124455266

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 03, 2013

Last Update: August 24, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 N Academy Ave

Danville, PA 178224903

Phone: 5702716144

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.