Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAYNE MEMORIAL COMMUNITY HEALTH CENTERS

NPI: 1225304603 · FOREST CITY, PA 18421 · Family Medicine Physician · NPI assigned 03/29/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JACKSON, FREDERICK controls 14+ related entities in our dataset. Read more

$286K
Total Medicaid Paid
5,190
Total Claims
4,835
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACKSON, FREDERICK (EXCECUTIVE DIRECTOR)
NPI Enumeration Date03/29/2012

Related Entities

Other providers sharing the same authorized official: JACKSON, FREDERICK

ProviderCityStateTotal Paid
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS HONESDALE PA $10.50M
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS HONESDALE PA $3.50M
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS HAWLEY PA $2.32M
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS HONESDALE PA $2.06M
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS HONESDALE PA $2.00M
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS LAKE ARIEL PA $1.95M
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS HONESDALE PA $1.58M
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS WAYMART PA $1.31M
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS LORDS VALLEY PA $735K
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS TAFTON PA $215K
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS HONESDALE PA $174K
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS LAKE COMO PA $152K
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS HAWLEY PA $3K
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS HONESDALE PA $789.13

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 448 $17K
2019 483 $16K
2020 12 $795.50
2021 159 $15K
2022 258 $23K
2023 1,688 $80K
2024 2,142 $134K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 2,786 2,620 $286K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 336 294 $453.28
3074F 15 15 $30.00
3079F 13 13 $10.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 30 25 $0.00
3008F 897 821 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 489 464 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 550 510 $0.00
99308 Subsequent nursing facility care, per day, straightforward 74 73 $0.00