Wyoming Valley AIDS Council

Wyoming Valley AIDS Council was paid $11K by Medicaid between Nov 2020 and Jan 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.

33Billing provider infoWYOMING VALLEY AIDS COUNCIL
WILKES BARRE, PA 18702

33aNPI1588080824assigned 03/11/2014

33bProvider typeCase Management Agency

28Total paid$11K

24GClaims369

24DCodes billed5

24AFirst – last monthNov 2020 – Jan 2024

Compared with peers

Next to other Case Management Agency providers in Pennsylvania

Rank by total paid#195 of 206

Median peer was paid$2.13M

This provider vs. median0.0×

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
2020	12	$117.00
2021	112	$3K
2022	148	$5K
2023	76	$2K
2024incomplete	21	$761.88

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	94%	242	236	$10K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.3%	35	34	$345.16
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.0%	59	56	$216.00
90688		<1%	18	17	$89.20
90686		0%	15	15	$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 officialZULA, KENNETH (EXECUTIVE DIRECTOR)