Physician
Wayne Memorial Community Health Centers
Wayne Memorial Community Health Centers was paid $1.67M by Medicaid between Oct 2020 and Nov 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
LAKE ARIEL, PA 18436
LAKE ARIEL, PA 18436
33aNPI1194377341assigned 07/09/2019
33bProvider typePediatrics Physician
28Total paid$1.67M
24GClaims19,231
24DCodes billed23
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#54 of 1,257
Median peer was paid$45K
This provider vs. median37×
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 | 305 | $35K | |
| 2021 | 1,656 | $156K | |
| 2022 | 2,016 | $191K | |
| 2023 | 6,628 | $479K | |
| 2024incomplete | 8,626 | $813K |
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 | 99% | 9,633 | 7,987 | $1.65M |
| 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% | 5,062 | 4,301 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 378 | 370 | $841.41 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 443 | 437 | $518.14 |
| 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% | 570 | 522 | $331.27 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 820 | 788 | $232.79 |
| 92552 | <1% | 51 | 51 | $165.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 293 | 285 | $20.00 |
| 85018 | <1% | 322 | 316 | $3.23 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 91 | 77 | $0.00 |
| 90677 | 0% | 88 | 88 | $0.00 | |
| 90697 | 0% | 59 | 59 | $0.00 |
11 more codes
| 90656 | 0% | 64 | $0.00 | |
| 96127 | 0% | 382 | $0.00 | |
| 90688 | 0% | 115 | $0.00 | |
| 90680 | 0% | 38 | $0.00 | |
| 90619 | 0% | 55 | $0.00 | |
| 87428 | 0% | 76 | $0.00 | |
| 99173 | 0% | 146 | $0.00 | |
| 90715 | 0% | 24 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 467 | $0.00 |
| 90670 | 0% | 30 | $0.00 | |
| 90633 | 0% | 24 | $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 officialLACEY, TERESA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Wayne Memorial Community Health Centers | Honesdale, PA | $17.04M |
| Wayne Memorial Community Health Centers | Carbondale, PA | $2.76M |
| Wayne Memorial Community Health Centers | Honesdale, PA | $1.31M |
| Wayne Memorial Community Health Centers | Honesdale, PA | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.