Clinic
Rural Health Corporation of Northeastern Pennsylvania
Rural Health Corporation of Northeastern Pennsylvania was paid $970K by Medicaid between Feb 2018 and Nov 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
EDWARDSVILLE, PA 18704
EDWARDSVILLE, PA 18704
33aNPI1477655744assigned 09/05/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$970K
24GClaims13,384
24DCodes billed21
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Pennsylvania
Rank by total paid#1 of 11
Median peer was paid$2K
This provider vs. median457×
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 | 447 | $42K | |
| 2019 | 563 | $48K | |
| 2020 | 811 | $41K | |
| 2021 | 2,058 | $156K | |
| 2022 | 2,872 | $200K | |
| 2023 | 4,149 | $278K | |
| 2024incomplete | 2,484 | $206K |
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% | 7,734 | 7,047 | $970K |
| 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% | 3,000 | 2,755 | $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% | 143 | 138 | $0.00 |
| 90688 | 0% | 227 | 137 | $0.00 | |
| 90686 | 0% | 28 | 28 | $0.00 | |
| 96161 | 0% | 13 | 13 | $0.00 | |
| 90697 | 0% | 12 | 12 | $0.00 | |
| 90680 | 0% | 12 | 12 | $0.00 | |
| 87807 | 0% | 72 | 71 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 214 | 207 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 284 | 282 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 180 | 178 | $0.00 |
9 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 306 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 489 | $0.00 |
| 99173 | 0% | 62 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 292 | $0.00 |
| 92552 | 0% | 134 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 25 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 78 | $0.00 |
| 90461 | 0% | 26 | $0.00 | |
| 90670 | 0% | 53 | $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 | Monroe Township, PA | $902K |
| Rural Health Corporation of Northeastern Pennsylvania | Freeland, PA | $821K |
| 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.