Physician
The Carbon-Schuylkill Community Hospital, INC.
The Carbon-Schuylkill Community Hospital, INC. was paid $758K by Medicaid between Apr 2020 and Nov 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoTHE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
LANSFORD, PA 18232
LANSFORD, PA 18232
33aNPI1083186076assigned 01/02/2019
33bProvider typeFamily Medicine Physician
28Total paid$758K
24GClaims6,780
24DCodes billed7
24AFirst – last monthApr 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#84 of 2,756
Median peer was paid$19K
This provider vs. median40×
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 | |
|---|---|---|---|
| 2020 | 770 | $79K | |
| 2021 | 1,113 | $124K | |
| 2022 | 1,900 | $232K | |
| 2023 | 1,655 | $165K | |
| 2024incomplete | 1,342 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 4,880 | 4,545 | $756K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,691 | 1,568 | $2K |
| 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 | <1% | 115 | 115 | $270.39 |
| 92551 | <1% | 15 | 15 | $155.29 | |
| 99173 | 0% | 15 | 15 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 50 | 44 | $0.00 |
| 90686 | 0% | 14 | 14 | $0.00 |
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 officialLICHTENWALNER, THOMAS (SR VP FINANCE)
Parent organizationTHE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
| Provider | Location | Paid |
|---|---|---|
| ST Luke's Hospital | Allentown, PA | $6.98M |
| ST Luke's Hospital | Allentown, PA | $4.97M |
| The Carbon Schuylkill Community Hospital, INC. | Tamaqua, PA | $2.00M |
| ST Luke's Hospital | Lehighton, PA | $1.16M |
| The Carbon-Schuylkill Community Hospital, INC. | Ringtown, PA | $393K |
| GSLPG, INC | Orwigsburg, PA | $31K |
| ST. Luke's Hospital | Palmerton, PA | $607.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.