Clinic
Sto-Rox Neighborhood Health Council, INC.
Sto-Rox Neighborhood Health Council, INC. was paid $1.21M by Medicaid between Jan 2018 and Dec 2024, across 30 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 infoSTO-ROX NEIGHBORHOOD HEALTH COUNCIL, INC.
MC KEES ROCKS, PA 15136
MC KEES ROCKS, PA 15136
33aNPI1154354553assigned 07/09/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.21M
24GClaims19,380
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#109 of 240
Median peer was paid$909K
This provider vs. median1.3×
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 | 64 | $3K | |
| 2019 | 120 | $8K | |
| 2020 | 1,368 | $82K | |
| 2021 | 6,962 | $366K | |
| 2022 | 5,503 | $279K | |
| 2023 | 3,462 | $236K | |
| 2024incomplete | 1,901 | $232K |
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% | 9,898 | 8,381 | $1.21M |
| 0012A | <1% | 15 | 13 | $480.00 | |
| 0011A | <1% | 15 | 15 | $40.00 | |
| 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% | 673 | 625 | $35.00 |
| 90686 | <1% | 221 | 217 | $10.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 511 | 453 | $0.00 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 822 | 772 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 796 | 741 | $0.00 |
| 96127 | 0% | 477 | 440 | $0.00 | |
| 3008F | 0% | 1,631 | 1,527 | $0.00 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 490 | 488 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 112 | 111 | $0.00 |
18 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 103 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 35 | $0.00 |
| 91301 | 0% | 36 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 12 | $0.00 |
| 3079F | 0% | 13 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 17 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 149 | $0.00 |
| 99173 | 0% | 383 | $0.00 | |
| 1160F | 0% | 1,513 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 353 | $0.00 |
| 92552 | 0% | 303 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 348 | $0.00 |
| 1032F | 0% | 150 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 30 | $0.00 |
| 1159F | 0% | 93 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 152 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 13 | $0.00 |
| 90461 | 0% | 16 | $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 officialLAGER, GAIL (CFO)