RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA

NPI: 1265801112 · WILKES BARRE, PA 18701 · Federally Qualified Health Center (FQHC) · NPI assigned 09/22/2015

$20K

Total Medicaid Paid

146

Total Claims

132

Beneficiaries

Codes Billed

2021-03

First Month

2021-10

Last Month

Provider Details

Authorized Official	ISKRA, MATTHEW (CFO)
NPI Enumeration Date	09/22/2015

Other providers sharing the same authorized official: ISKRA, MATTHEW

Provider	City	State	Total Paid
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA	EDWARDSVILLE	PA	$970K
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA	MONROE TOWNSHIP	PA	$902K
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA	FREELAND	PA	$821K
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA	WILKES-BARRE	PA	$728K
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA	HAZLETON	PA	$664K
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA	SHICKSHINNY	PA	$413K
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA	FALLS	PA	$223K

Year	Claims	Total Paid
2021	146	$20K

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	133	119	$20K
D0120	Periodic oral evaluation - established patient	13	13	$0.00