Supplier
Lackawanna Mobile X-Ray, INC.
Lackawanna Mobile X-Ray, INC. was paid $257.79 by Medicaid between Jun 2022 and Jun 2022, across 1 billing code. Its largest line is 93971, — 100% of everything it billed.
33Billing provider infoLACKAWANNA MOBILE X-RAY, INC.
DUNMORE, PA 18509
DUNMORE, PA 18509
33aNPI1063607893assigned 09/14/2007
33bProvider typePortable X-ray and/or Other Portable Diagnostic Imaging Supplier
28Total paid$257.79
24GClaims13
24DCodes billed1
24AFirst – last monthJun 2022 – Jun 2022
Compared with peers
Next to other Portable X-ray and/or Other Portable Diagnostic Imaging Supplier providers in Pennsylvania
Rank by total paid#10 of 12
Median peer was paid$37K
This provider vs. median0.0×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 13 | $257.79 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93971 | 100% | 13 | 12 | $257.79 |
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 officialWOELKERS, PAUL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lackawanna Mobile X-Ray INC | Dunmore, PA | $317K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.