Physician
Medical Center of Northeastern PA LLC
Medical Center of Northeastern PA LLC was paid $235K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 32% of everything it billed.
33Billing provider infoMEDICAL CENTER OF NORTHEASTERN PA LLC
KINGSTON, PA 18704
KINGSTON, PA 18704
33aNPI1063715639assigned 12/21/2010
33bProvider typeFamily Medicine Physician
28Total paid$235K
24GClaims8,818
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#309 of 2,756
Median peer was paid$19K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2018 | 228 | $12K | |
| 2019 | 737 | $16K | |
| 2020 | 528 | $4K | |
| 2021 | 2,458 | $57K | |
| 2022 | 1,615 | $37K | |
| 2023 | 1,786 | $45K | |
| 2024incomplete | 1,466 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 32% | 2,852 | 2,297 | $74K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,185 | 1,071 | $37K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 9.5% | 1,131 | 880 | $22K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.2% | 190 | 182 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.7% | 528 | 366 | $13K |
| 99310 | Prolong nursin fac eval 15m | 5.7% | 349 | 306 | $13K |
| 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 | 5.4% | 297 | 271 | $13K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.0% | 927 | 887 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.2% | 220 | 220 | $7K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 162 | 86 | $7K |
| 99307 | 2.8% | 654 | 409 | $7K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 124 | 124 | $7K |
8 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $1K |
| 99305 | <1% | 16 | $839.74 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 17 | $737.00 |
| 0003A | <1% | 18 | $640.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $524.10 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 43 | $480.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $363.20 |
| 99441 | <1% | 42 | $346.40 |
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 officialALMEKY, IBRAHIM (MD/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Ultra Care Urgent and Family Care | Kingston, PA | $408K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.