NPI: 1568648376 · HONESDALE, PA 18431 · Family Medicine Physician · NPI assigned 01/11/2008
Authorized official JACKSON, FREDERICK controls 14+ related entities in our dataset. Read more
| Authorized Official | JACKSON, FREDERICK (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 01/11/2008 |
Other providers sharing the same authorized official: JACKSON, FREDERICK
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAYNE MEMORIAL COMMUNITY HEALTH CENTERS | HONESDALE | PA | $3.50M |
| WAYNE MEMORIAL COMMUNITY HEALTH CENTERS | HAWLEY | PA | $2.32M |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 841 | $46K |
| 2019 | 835 | $36K |
| 2020 | 4,877 | $614K |
| 2021 | 14,758 | $2.02M |
| 2022 | 17,564 | $2.42M |
| 2023 | 20,421 | $2.50M |
| 2024 | 18,349 | $2.86M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 69,549 | 41,255 | $10.49M |
| 3074F | 642 | 588 | $1K | |
| 3078F | 431 | 403 | $865.99 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,153 | 1,056 | $748.65 |
| 3079F | 338 | 317 | $457.90 | |
| 3075F | 35 | 29 | $155.00 | |
| 3044F | 75 | 65 | $130.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,671 | 1,572 | $108.84 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 96 | 90 | $0.00 |
| 3008F | 2,664 | 2,420 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 875 | 819 | $0.00 |
| 90686 | 17 | 17 | $0.00 | |
| G0467 | Federally 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 | 43 | 40 | $0.00 |
| 90656 | 24 | 24 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 32 | 32 | $0.00 |