Clinic
Charles Cole Memorial Hospital
Charles Cole Memorial Hospital was paid $6.41M by Medicaid between Jan 2018 and Dec 2024, across 73 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 infoCHARLES COLE MEMORIAL HOSPITAL
COUDERSPORT, PA 16915
COUDERSPORT, PA 16915
33aNPI1578637989assigned 11/17/2006
33bProvider typeRural Health Clinic/Center
28Total paid$6.41M
24GClaims98,203
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Pennsylvania
Rank by total paid#1 of 43
Median peer was paid$383K
This provider vs. median17×
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 | 2,802 | $111K | |
| 2019 | 2,559 | $101K | |
| 2020 | 6,377 | $443K | |
| 2021 | 26,462 | $1.78M | |
| 2022 | 21,240 | $1.45M | |
| 2023 | 20,922 | $1.30M | |
| 2024incomplete | 17,841 | $1.23M |
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% | 47,599 | 37,069 | $6.40M |
| 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% | 13,185 | 11,894 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,806 | 5,022 | $2K |
| 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% | 3,167 | 3,050 | $686.35 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 219 | 218 | $542.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,110 | 2,086 | $473.28 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 853 | 841 | $401.13 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 506 | 501 | $358.78 |
| 92551 | <1% | 1,352 | 1,347 | $323.86 | |
| 90670 | <1% | 223 | 221 | $260.55 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,082 | 1,045 | $188.84 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 588 | 588 | $112.01 |
61 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 599 | $102.00 |
| 90686 | <1% | 165 | $94.20 | |
| 3074F | <1% | 717 | $90.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,759 | $82.86 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 40 | $82.76 |
| 3078F | <1% | 494 | $70.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,063 | $53.69 |
| 3077F | <1% | 39 | $40.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,046 | $39.20 |
| 99460 | <1% | 60 | $35.63 | |
| 96127 | <1% | 816 | $27.58 | |
| 3079F | <1% | 125 | $20.00 | |
| 96161 | <1% | 993 | $3.83 | |
| 3288F | 0% | 685 | $0.00 | |
| 81002 | 0% | 2,833 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,764 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 619 | $0.00 |
| 99173 | 0% | 1,348 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 51 | $0.00 |
| 99307 | 0% | 285 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 37 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 221 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 229 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 119 | $0.00 |
| 83655 | 0% | 26 | $0.00 | |
| 99188 | 0% | 145 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 412 | $0.00 |
| 90715 | 0% | 98 | $0.00 | |
| 81025 | 0% | 129 | $0.00 | |
| 90734 | 0% | 28 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 155 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 99 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 331 | $0.00 |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 12 | $0.00 |
| 31575 | 0% | 29 | $0.00 | |
| 90633 | 0% | 24 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 59 | $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% | 12 | $0.00 |
| 90661 | 0% | 16 | $0.00 | |
| 11721 | 0% | 13 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 343 | $0.00 |
| 90723 | 0% | 186 | $0.00 | |
| 90474 | 0% | 111 | $0.00 | |
| 90647 | 0% | 108 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 189 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 654 | $0.00 |
| 90680 | 0% | 121 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 768 | $0.00 |
| 90677 | 0% | 101 | $0.00 | |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 219 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 246 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 202 | $0.00 |
| 90674 | 0% | 151 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 107 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 47 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 73 | $0.00 |
| 85018 | 0% | 27 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 101 | $0.00 |
| D2331 | 0% | 34 | $0.00 | |
| 3075F | 0% | 14 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 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 officialGLUNK, DANIEL (INTERIM PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Charles Cole Memorial Hospital | Port Allegany, PA | $3.87M |
| Charles Cole Memorial Hopstial | Coudersport, PA | $2.02M |
| Charles Cole Memorial Hospital | Shinglehouse, PA | $1.54M |
| Charles Cole Memorial Hospital | Emporium, PA | $948K |
| Charles Cole Memorial Hospital | Coudersport, PA | $589K |
| Charles Cole Memorial Hospital | Smethport, PA | $398K |
| Charles Cole Memorial Hospital | Westfield, PA | $385K |
| Charles Cole Memorial Hospital | Eldred, PA | $383K |
| Charles Cole Memorial Hospital | Galeton, PA | $380K |
| Charles Cole Memorial Hospital | Ulysses, PA | $324K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.