Luzerne Wyoming Counties Mental Health Mental Retardation Program
Luzerne Wyoming Counties Mental Health Mental Retardation Program was paid $795K by Medicaid between Jan 2018 and Dec 2022, across 2 billing codes. Its largest line is T1016, Case management, each 15 minutes — 93% of everything it billed.
33Billing provider infoLUZERNE WYOMING COUNTIES MENTAL HEALTH MENTAL RETARDATION PROGRAM
WILKES BARRE, PA 18701
WILKES BARRE, PA 18701
33aNPI1154455061assigned 03/15/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$795K
24GClaims9,550
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Case Manager/Care Coordinator providers in Pennsylvania
Rank by total paid#22 of 36
Median peer was paid$1.04M
This provider vs. median0.8×
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 | 2,056 | $164K | |
| 2019 | 1,965 | $175K | |
| 2020 | 2,077 | $149K | |
| 2021 | 1,812 | $154K | |
| 2022 | 1,640 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 93% | 8,650 | 5,968 | $736K |
| W0016 | 7.4% | 900 | 714 | $59K |
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 officialCISOWSKI, ANTOINETTE (MH MR ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Luzerne Wyoming Counties Mental Health Mental Retardation Program | Wilkes Barre, PA | $11.95M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.