Physician
Rural Health Corporation of Northeastern Pennsylvania
Rural Health Corporation of Northeastern Pennsylvania was paid $821K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoRURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
FREELAND, PA 18224
FREELAND, PA 18224
33aNPI1336241694assigned 09/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$821K
24GClaims11,388
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#78 of 2,756
Median peer was paid$19K
This provider vs. median43×
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 | 261 | $31K | |
| 2019 | 343 | $48K | |
| 2020 | 2,308 | $150K | |
| 2021 | 3,635 | $232K | |
| 2022 | 1,198 | $92K | |
| 2023 | 2,081 | $138K | |
| 2024incomplete | 1,562 | $130K |
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 | 100% | 6,550 | 5,872 | $821K |
| D1351 | Sealant - per tooth | 0% | 395 | 67 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 1,173 | 1,065 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 561 | 561 | $0.00 |
| 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 | 0% | 691 | 641 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 14 | 14 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 313 | 310 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 165 | 165 | $0.00 |
| G0467 | Community health center visit, returning patientFederally 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 | 0% | 29 | 27 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 14 | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 13 | 13 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 726 | 714 | $0.00 |
9 more codes
| D0330 | Panoramic radiographic image | 0% | 123 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 366 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 92 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 29 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 44 | $0.00 |
| 99173 | 0% | 45 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 18 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 15 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 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 officialISKRA, MATTHEW (CFO)
Parent organizationRURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
| Provider | Location | 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 | 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 |
| Rural Health Corporation of Northeastern Pennsylvania | Wilkes Barre, PA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.