Clinic
Family Health Care Center of Punxsutawney, INC.
Family Health Care Center of Punxsutawney, INC. was paid $144K by Medicaid between Jan 2018 and Jun 2023, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoFAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC.
PUNXSUTAWNEY, PA 15767
PUNXSUTAWNEY, PA 15767
33aNPI1295005361assigned 01/06/2012
33bProvider typeRural Health Clinic/Center
28Total paid$144K
24GClaims3,266
24DCodes billed11
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Rural Health Clinic/Center providers in Pennsylvania
Rank by total paid#29 of 43
Median peer was paid$383K
This provider vs. median0.4×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 584 | $19K | |
| 2019 | 528 | $18K | |
| 2020 | 275 | $10K | |
| 2021 | 988 | $41K | |
| 2022 | 678 | $42K | |
| 2023 | 213 | $16K |
Box 24 · Service lines
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 | 96% | 2,631 | 2,152 | $138K |
| 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 | 3.3% | 269 | 245 | $5K |
| 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% | 125 | 115 | $1K |
| 90686 | <1% | 15 | 15 | $219.75 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 15 | 13 | $163.00 |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | 12 | $121.00 |
| 94760 | <1% | 13 | 13 | $21.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | 15 | $10.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 117 | 102 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 42 | 40 | $0.00 |
| 1036F | 0% | 12 | 12 | $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.
From NPPES
Who's on the registration
Authorized officialSTATES, PHILLIP (OWNER/PROPRIETOR)