Keystone Rural Health Center
Keystone Rural Health Center was paid $532K by Medicaid between May 2019 and Nov 2024, across 11 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.
CHAMBERSBURG, PA 17201
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 78 | $20K | |
| 2020 | 252 | $46K | |
| 2021 | 550 | $84K | |
| 2022 | 811 | $117K | |
| 2023 | 920 | $164K | |
| 2024incomplete | 498 | $100K |
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% | 1,975 | 1,873 | $527K |
| 0012A | <1% | 85 | 85 | $3K | |
| 0011A | <1% | 55 | 55 | $2K | |
| 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% | 253 | 240 | $562.57 |
| G9920 | Screening performed and negative | 0% | 101 | 99 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 42 | 41 | $0.00 |
| 87210 | 0% | 54 | 53 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 14 | 14 | $0.00 |
| 3008F | 0% | 467 | 448 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 50 | 50 | $0.00 |
| 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 | 0% | 13 | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Keystone Rural Health Center | Chambersburg, PA | $35.78M |
| Keystone Rural Health Center | Chambersburg, PA | $22.87M |
| Keystone Rural Health Center | Chambersburg, PA | $20.89M |
| Keystone Rural Health Center | Chambersburg, PA | $14.22M |
| Keystone Rural Health Center | Chambersburg, PA | $14.07M |
| Keystone Rural Health Center | Chambersburg, PA | $13.70M |
| Keystone Rural Health Center | Chambersburg, PA | $8.99M |
| Keystone Rural Health Center | Chambersburg, PA | $4.76M |
| Keystone Rural Health Center | Waynesboro, PA | $4.54M |
| Keystone Rural Health Center | Chambersburg, PA | $4.19M |
| Keystone Rural Health Center | Chambersburg, PA | $1.98M |
| Keystone Rural Health Center | Chambersburg, PA | $1.80M |
| Keystone Rural Health Center | Chambersburg, PA | $1.72M |
| Keystone Rural Health Center | Chambersburg, PA | $441K |
| Keystone Rural Health Center | Waynesboro, PA | $173K |
| Keystone Rural Health Center | Chambersburg, PA | $120K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.