Clinic
Sadler Health Center Corporation
Sadler Health Center Corporation was paid $16.06M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoSADLER HEALTH CENTER CORPORATION
CARLISLE, PA 17013
CARLISLE, PA 17013
33aNPI1467494823assigned 06/11/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$16.06M
24GClaims218,655
24DCodes billed98
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#15 of 240
Median peer was paid$909K
This provider vs. median18×
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 | 3,705 | $398K | |
| 2019 | 3,687 | $420K | |
| 2020 | 12,769 | $761K | |
| 2021 | 55,608 | $3.06M | |
| 2022 | 39,914 | $2.77M | |
| 2023 | 49,377 | $3.95M | |
| 2024incomplete | 53,595 | $4.70M |
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 | 99% | 79,080 | 64,788 | $15.84M |
| G9012 | Other specified case management service not elsewhere classified | <1% | 787 | 589 | $156K |
| T1002 | Rn services, up to 15 minutes | <1% | 211 | 123 | $16K |
| 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% | 19,484 | 17,082 | $13K |
| 0012A | <1% | 194 | 194 | $8K | |
| 0011A | <1% | 214 | 212 | $7K | |
| 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 | <1% | 7,545 | 6,996 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,357 | 3,088 | $3K |
| 0064A | <1% | 63 | 63 | $2K | |
| 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 | <1% | 2,289 | 1,890 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 634 | 630 | $919.02 |
| D1330 | <1% | 5,205 | 5,140 | $825.00 |
86 more codes
| 3079F | <1% | 6,571 | $670.00 | |
| 3077F | <1% | 2,102 | $485.00 | |
| 0031A | <1% | 12 | $480.00 | |
| 3074F | <1% | 11,692 | $435.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,822 | $427.46 |
| 92551 | <1% | 1,767 | $367.87 | |
| 3080F | <1% | 1,207 | $360.00 | |
| 90715 | <1% | 281 | $345.35 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,223 | $333.66 |
| 3075F | <1% | 2,301 | $283.53 | |
| 99173 | <1% | 1,785 | $208.58 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 513 | $174.37 |
| 3078F | <1% | 8,609 | $150.00 | |
| 90686 | <1% | 750 | $129.94 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,564 | $128.75 |
| 90633 | <1% | 246 | $34.60 | |
| 90461 | <1% | 662 | $20.00 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,868 | $20.00 |
| 80305 | <1% | 1,182 | $11.97 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,437 | $8.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 522 | $6.55 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 9,572 | $0.00 |
| D0191 | 0% | 1,680 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 2,039 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 2,094 | $0.00 |
| 97803 | 0% | 2,468 | $0.00 | |
| D0270 | 0% | 258 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 3,247 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 108 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 500 | $0.00 |
| 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 | 0% | 618 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 242 | $0.00 |
| 90670 | 0% | 170 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 317 | $0.00 |
| 90734 | 0% | 406 | $0.00 | |
| D2140 | 0% | 200 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 45 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 598 | $0.00 |
| 90671 | 0% | 149 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 15 | $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% | 170 | $0.00 |
| M1316 | Current tobacco non-user | 0% | 49 | $0.00 |
| 91322 | 0% | 23 | $0.00 | |
| D2332 | 0% | 45 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 25 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 12 | $0.00 |
| 81002 | 0% | 12 | $0.00 | |
| 90710 | 0% | 41 | $0.00 | |
| 91313 | 0% | 12 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,185 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 516 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 2,221 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 534 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 5,513 | $0.00 |
| D0602 | 0% | 608 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 1,623 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 133 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 702 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 691 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 3,258 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 12 | $0.00 |
| D0603 | 0% | 1,545 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 232 | $0.00 |
| 90680 | 0% | 97 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 964 | $0.00 |
| 96127 | 0% | 613 | $0.00 | |
| 90651 | 0% | 364 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 179 | $0.00 |
| D2160 | 0% | 152 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 921 | $0.00 |
| 90673 | 0% | 87 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 56 | $0.00 |
| D2331 | 0% | 166 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 91306 | 0% | 47 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 327 | $0.00 |
| D2330 | 0% | 16 | $0.00 | |
| 90696 | 0% | 25 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 106 | $0.00 |
| 91301 | 0% | 331 | $0.00 | |
| D2335 | 0% | 14 | $0.00 | |
| 96161 | 0% | 12 | $0.00 | |
| 90677 | 0% | 63 | $0.00 | |
| 91303 | 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 officialMUSSER, JOANNA (REVENUE CYCLE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Sadler Health Center Corporation | Mechanicsburg, PA | $514K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.