Medicaid Provider Spending

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

FAMILY CARE CENTERS INC

NPI: 1316409626 · EAST STROUDSBURG, PA 18301 · Emergency Medicine Physician · NPI assigned 04/04/2019

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

Authorized official DEMOPOULOS, JAMES controls 14+ related entities in our dataset. Read more

$6.09M
Total Medicaid Paid
89,425
Total Claims
85,878
Beneficiaries
14
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEMOPOULOS, JAMES (VP LVPG)
Parent OrganizationFAMILY CARE CENTERS INC
NPI Enumeration Date04/04/2019

Related Entities

Other providers sharing the same authorized official: DEMOPOULOS, JAMES

ProviderCityStateTotal Paid
FAMILY CARE CENTERS INC. E STROUDSBURG PA $11.08M
HAZLETON PROFESSIONAL SERVICES HAZLETON PA $8.26M
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. POTTSVILLE PA $2.41M
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. POTTSVILLE PA $1.15M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $225K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $190K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $157K
LEHIGH VALLEY PHYSICIAN GROUP WHITEHALL PA $107K
LEHIGH VALLEY PHYSICIAN GROUP DICKSON CITY PA $17K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $15K
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $7K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $6K
LEHIGH VALLEY PHYSICIAN GROUP SCRANTON PA $4K
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $479.15

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,138 $64K
2020 3,822 $248K
2021 24,196 $1.56M
2022 24,850 $1.69M
2023 19,170 $1.35M
2024 16,249 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 44,412 42,724 $4.58M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,993 21,889 $774K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,116 6,822 $329K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,963 2,883 $149K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,007 3,884 $93K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,261 4,140 $58K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 443 419 $39K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,385 1,359 $38K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,585 1,513 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 96 89 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 54 50 $2K
99000 13 13 $72.72
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 12 12 $26.01
81003 85 81 $19.38