Clinic
ST. Joseph Regional Health Network
ST. Joseph Regional Health Network was paid $96K by Medicaid between Nov 2020 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoST. JOSEPH REGIONAL HEALTH NETWORK
BLANDON, PA 19510
BLANDON, PA 19510
33aNPI1366757973assigned 08/09/2010
33bProvider typeUrgent Care Clinic/Center
28Total paid$96K
24GClaims1,376
24DCodes billed5
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Pennsylvania
Rank by total paid#51 of 68
Median peer was paid$914K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 17 | $1K | |
| 2021 | 111 | $7K | |
| 2022 | 343 | $24K | |
| 2023 | 573 | $39K | |
| 2024incomplete | 332 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 74% | 919 | 890 | $71K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 14% | 211 | 201 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 219 | 214 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 13 | 13 | $1K |
| 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 | <1% | 14 | 14 | $178.92 |
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 officialCHABALOWSKI, EDWARD (CFO/VP FINANCE)
| Provider | Location | Paid |
|---|---|---|
| ST Joseph Regional Health Network | Reading, PA | $27.79M |
| ST. Joseph Medical Group | Reading, PA | $7.20M |
| ST Joseph Regional Health Network | Temple, PA | $1.02M |
| ST. Joseph Regional Health Network | Reading, PA | $907K |
| ST Joseph Regional Health Network | Strausstown, PA | $236K |
| ST. Joseph Regional Health Network | Reading, PA | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.