WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
NPI: 1346854270
· HONESDALE, PA 18431
· Emergency Medicine Physician
· NPI assigned 09/08/2020
$1.31M
Total Medicaid Paid
Provider Details
| Authorized Official | LACEY, TERESA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 09/08/2020 |
Related Entities
Other providers sharing the same authorized official: LACEY, TERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
461 |
$43K |
| 2022 |
1,376 |
$116K |
| 2023 |
5,815 |
$429K |
| 2024 |
7,768 |
$718K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,574 |
6,994 |
$1.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,155 |
5,690 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,026 |
991 |
$195.63 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
155 |
148 |
$176.28 |
| 3074F |
|
80 |
78 |
$0.00 |
| 87807 |
|
25 |
20 |
$0.00 |
| 87428 |
|
190 |
187 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
143 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 3078F |
|
45 |
44 |
$0.00 |