Physician
Wayne Memorial Community Health Centers
Wayne Memorial Community Health Centers was paid $2.32M by Medicaid between Jan 2018 and Nov 2024, across 48 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 infoWAYNE MEMORIAL COMMUNITY HEALTH CENTERS
HAWLEY, PA 18428
HAWLEY, PA 18428
33aNPI1477736254assigned 12/14/2007
33bProvider typeFamily Medicine Physician
28Total paid$2.32M
24GClaims35,595
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#25 of 2,756
Median peer was paid$19K
This provider vs. median121×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JACKSON, FREDERICK controls 14+ related entities in our dataset. Read more
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 | 320 | $12K | |
| 2019 | 320 | $15K | |
| 2020 | 3,354 | $201K | |
| 2021 | 11,337 | $716K | |
| 2022 | 2,991 | $227K | |
| 2023 | 7,506 | $439K | |
| 2024incomplete | 9,767 | $708K |
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% | 14,110 | 12,327 | $2.31M |
| 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% | 4,627 | 4,115 | $8K |
| 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% | 1,502 | 1,415 | $1K |
| 3074F | <1% | 351 | 317 | $614.23 | |
| 3078F | <1% | 266 | 247 | $511.35 | |
| 3079F | <1% | 265 | 242 | $415.79 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 176 | 174 | $284.70 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 44 | 43 | $230.65 |
| 3075F | <1% | 142 | 134 | $170.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 708 | 672 | $167.08 |
| 3044F | <1% | 26 | 26 | $70.00 | |
| 3077F | <1% | 27 | 25 | $70.00 |
36 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 244 | $0.00 |
| 3008F | 0% | 3,600 | $0.00 | |
| 96127 | 0% | 73 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 56 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 576 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,607 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 1,446 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 489 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 132 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 201 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 27 | $0.00 |
| 90686 | 0% | 53 | $0.00 | |
| 85018 | 0% | 36 | $0.00 | |
| D1330 | 0% | 89 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 159 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 539 | $0.00 |
| 90656 | 0% | 42 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 14 | $0.00 |
| 87428 | 0% | 64 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 44 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 12 | $0.00 |
| 90677 | 0% | 12 | $0.00 | |
| D5899 | 0% | 21 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 1,592 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 173 | $0.00 |
| D0270 | 0% | 26 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 274 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 112 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 460 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 801 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 274 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 44 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 17 | $0.00 |
| D2394 | 0% | 16 | $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 officialJACKSON, FREDERICK (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Wayne Memorial Community Health Centers | Honesdale, PA | $10.50M |
| Wayne Memorial Community Health Centers | Honesdale, PA | $3.50M |
| Wayne Memorial Community Health Centers | Honesdale, PA | $2.06M |
| Wayne Memorial Community Health Centers | Honesdale, PA | $2.00M |
| Wayne Memorial Community Health Centers | Lake Ariel, PA | $1.95M |
| Wayne Memorial Community Health Centers | Honesdale, PA | $1.58M |
| Wayne Memorial Community Health Centers | Waymart, PA | $1.31M |
| Wayne Memorial Community Health Centers | Lords Valley, PA | $735K |
| Wayne Memorial Community Health Centers | Forest City, PA | $286K |
| Wayne Memorial Community Health Centers | Tafton, PA | $215K |
| Wayne Memorial Community Health Centers | Honesdale, PA | $174K |
| Wayne Memorial Community Health Centers | Lake Como, PA | $152K |
| Wayne Memorial Community Health Centers | Hawley, PA | $3K |
| Wayne Memorial Community Health Centers | Honesdale, PA | $789.13 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.