NPI: 1194377341 · LAKE ARIEL, PA 18436 · Pediatrics Physician · NPI assigned 07/09/2019
| Authorized Official | LACEY, TERESA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 07/09/2019 |
Other providers sharing the same authorized official: LACEY, TERESA
| Provider | City | State | Total 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 305 | $35K |
| 2021 | 1,656 | $156K |
| 2022 | 2,016 | $191K |
| 2023 | 6,628 | $479K |
| 2024 | 8,626 | $813K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 9,633 | 7,987 | $1.65M |
| 99213 | 5,062 | 4,301 | $22K | |
| 99394 | 378 | 370 | $841.41 | |
| 99393 | 443 | 437 | $518.14 | |
| 99214 | 570 | 522 | $331.27 | |
| 87880 | 820 | 788 | $232.79 | |
| 92552 | 51 | 51 | $165.00 | |
| 99391 | 293 | 285 | $20.00 | |
| 85018 | 322 | 316 | $3.23 | |
| 96110 | 91 | 77 | $0.00 | |
| 90677 | 88 | 88 | $0.00 | |
| 90697 | 59 | 59 | $0.00 | |
| 90656 | 64 | 64 | $0.00 | |
| 96127 | 382 | 374 | $0.00 | |
| 90688 | 115 | 115 | $0.00 | |
| 90680 | 38 | 38 | $0.00 | |
| 90619 | 55 | 55 | $0.00 | |
| 87428 | 76 | 75 | $0.00 | |
| 99173 | 146 | 145 | $0.00 | |
| 90715 | 24 | 24 | $0.00 | |
| 99392 | 467 | 452 | $0.00 | |
| 90670 | 30 | 30 | $0.00 | |
| 90633 | 24 | 24 | $0.00 |