Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Mahanoy City › NPI 1053910232
Physician

Carbon - Schuylkill Community Hospital INC

Carbon - Schuylkill Community Hospital INC was paid $221K by Medicaid between Oct 2021 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoCARBON - SCHUYLKILL COMMUNITY HOSPITAL INC
MAHANOY CITY, PA 17948
33aNPI1053910232assigned 10/20/2020
28Total paid$221K
24GClaims6,777
24DCodes billed8
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers

Next to other Occupational Medicine Physician providers in Pennsylvania

Rank by total paid#2 of 9
Median peer was paid$12K
This provider vs. median19×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WOLFE, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2021165$6K
20221,608$56K
20232,093$64K
2024incomplete2,911$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43% 2,514 2,255 $95K
S9088 Services provided in an urgent care center (list in addition to code for service) 30% 3,132 2,808 $66K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20% 720 707 $43K
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 5.9% 222 214 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 50 50 $2K
71046 Radiologic examination, chest; 2 views <1% 98 96 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 12 $500.28
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 29 28 $165.58

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.

From NPPES

Who's on the registration

Authorized officialWOLFE, SCOTT (SENIOR VP FINANCE)
Same official

Other billing entities under WOLFE, SCOTT

Full network →
ProviderLocationPaid
ST Lukes HospitalBethlehem, PA$20.74M
ST. Luke's Hospital Monroe CampusStroudsburg, PA$11.88M
ST Lukes Hospital-Anderson CampusEaston, PA$8.47M
ST Lukes Emergency & Transport Services, INCQuakertown, PA$4.32M
ST Lukes Quakertown HospitalQuakertown, PA$3.56M
ST. Luke's Hospital Grand View CampusSellersville, PA$2.45M
ST. Luke's Hospital-Carbon CampusLehighton, PA$1.36M
ST. Luke's Hospital BethlehemLehighton, PA$707K
The Carbon Schuylkill Community Hospital, INC.Hazle Township, PA$307K
ST. Luke's Hospital Monroe CampusBrodheadsville, PA$263K
The Carbon Schuylkill Community Hospital, INC.Tamaqua, PA$248K
ST. Luke's Hospital Monroe CampusPocono Summit, PA$211K
The Carbon Schuylkill Community Hospital, INC.Lehighton, PA$192K
ST. Luke's Physician Group, INCAllentown, PA$173K
ST. Luke's HospitalHamburg, PA$126K
ST Luke HospitalPalmerton, PA$122K
ST. Luke's Hospital Monroe CampusEast Stroudsburg, PA$105K
ST. Luke's HospitalWhitehall, PA$85K
ST. Luke's HosptialWind Gap, PA$67K
ST. Luke's HospitalJim Thorpe, PA$64K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.