Clinic
NPI deactivated
The Carbon Schuylkill Community Hospital, INC.
The Carbon Schuylkill Community Hospital, INC. was paid $2.00M by Medicaid between Nov 2019 and Dec 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 infoTHE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC.
TAMAQUA, PA 18252
TAMAQUA, PA 18252
33aNPI1598911992assigned 08/18/2008
33bProvider typeRural Health Clinic/Center
28Total paid$2.00M
24GClaims17,800
24DCodes billed21
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Pennsylvania
Rank by total paid#6 of 43
Median peer was paid$383K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2019 | 303 | $44K | |
| 2020 | 3,040 | $389K | |
| 2021 | 3,814 | $451K | |
| 2022 | 2,741 | $350K | |
| 2023 | 3,171 | $278K | |
| 2024incomplete | 4,731 | $491K |
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% | 11,839 | 9,666 | $1.99M |
| 99499 | <1% | 395 | 343 | $5K | |
| 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 | <1% | 362 | 301 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | 14 | $1K |
| 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% | 654 | 642 | $247.03 |
| 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% | 2,608 | 2,429 | $227.12 |
| D1110 | Prophylaxis - adult | 0% | 301 | 300 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 79 | 76 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 94 | 93 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 98 | 98 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 37 | 37 | $0.00 |
| 99173 | 0% | 48 | 42 | $0.00 |
9 more codes
| D0190 | 0% | 124 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 319 | $0.00 |
| D1330 | 0% | 498 | $0.00 | |
| D0603 | 0% | 85 | $0.00 | |
| D1310 | 0% | 81 | $0.00 | |
| 92551 | 0% | 31 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 88 | $0.00 |
| 90686 | 0% | 30 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 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 officialLICHTENWALNER, THOMAS (S.V.P FINANCE)
Parent organizationTHE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC.
| Provider | Location | Paid |
|---|---|---|
| ST Luke's Hospital | Allentown, PA | $6.98M |
| ST Luke's Hospital | Allentown, PA | $4.97M |
| ST Luke's Hospital | Lehighton, PA | $1.16M |
| The Carbon-Schuylkill Community Hospital, INC. | Lansford, PA | $758K |
| The Carbon-Schuylkill Community Hospital, INC. | Ringtown, PA | $393K |
| GSLPG, INC | Orwigsburg, PA | $31K |
| ST. Luke's Hospital | Palmerton, PA | $607.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.