NPI: 1225304603 · FOREST CITY, PA 18421 · Family Medicine Physician · NPI assigned 03/29/2012
Authorized official JACKSON, FREDERICK controls 14+ related entities in our dataset. Read more
| Authorized Official | JACKSON, FREDERICK (EXCECUTIVE DIRECTOR) |
| NPI Enumeration Date | 03/29/2012 |
Other providers sharing the same authorized official: JACKSON, FREDERICK
| Provider | City | State | Total 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 |
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total 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 |