Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wayne Memorial Community Health Centers

Wayne Memorial Community Health Centers was paid $1.31M by Medicaid between Oct 2020 and Dec 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.

33Billing provider infoWAYNE MEMORIAL COMMUNITY HEALTH CENTERS
WAYMART, PA 18472
33aNPI1134771934assigned 07/11/2019
33bProvider typePediatrics Physician
28Total paid$1.31M
24GClaims15,851
24DCodes billed23
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#79 of 1,257
Median peer was paid$45K
This provider vs. median29×

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 JACKSON, FREDERICK controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
2020135$17K
2021984$98K
20221,535$136K
20235,956$407K
2024incomplete7,241$654K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 99% 7,552 6,050 $1.30M
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% 3,907 3,246 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 313 305 $650.46
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% 673 609 $630.36
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,002 949 $215.13
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 437 431 $56.16
90656 <1% 84 84 $10.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 317 307 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 181 181 $0.00
92552 0% 69 69 $0.00
99173 0% 187 185 $0.00
87420 0% 28 25 $0.00
11 more codes
90633 0% 14 $0.00
90670 0% 16 $0.00
85018 0% 250 $0.00
90677 0% 139 $0.00
90686 0% 128 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 157 $0.00
90688 0% 12 $0.00
90697 0% 65 $0.00
90680 0% 51 $0.00
96127 0% 215 $0.00
87428 0% 54 $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 officialJACKSON, FREDERICK (EXECUTIVE DIRECTOR)
Same official

Other billing entities under JACKSON, FREDERICK

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