Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › EMPORIUM › KEYSTONE RURAL HEALTH CONSORTIA, INC.

KEYSTONE RURAL HEALTH CONSORTIA, INC.

NPI: 1609968114 · EMPORIUM, PA 15834 · Federally Qualified Health Center (FQHC) · NPI assigned 09/29/2006

$2.50M
Total Medicaid Paid
25,992
Total Claims
23,521
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBENNARDI, KRISTIE (ADMINISTRATOR)
NPI Enumeration Date09/29/2006

Related Entities

Other providers sharing the same authorized official: BENNARDI, KRISTIE

ProviderCityStateTotal Paid
KEYSTONE RURAL HEALTH CONSORTIA, INC. EMPORIUM PA $2.47M
JOHNSONBURG DENTAL CENTER JOHNSONBURG PA $1.92M
KEYSTONE RURAL HEALTH CONSORTIA, INC. KERSEY PA $762K
KEYSTONE RURAL HEALTH CONSORTIA, INC RIDGWAY PA $333K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,177 $157K
2019 1,938 $247K
2020 3,451 $282K
2021 4,817 $353K
2022 4,481 $473K
2023 4,163 $485K
2024 5,965 $499K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 10,797 9,407 $2.49M
0012A 77 77 $3K
0011A 65 64 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 588 488 $920.99
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 692 599 $580.64
3078F 609 537 $331.11
3074F 707 631 $265.78
3079F 174 164 $170.00
3075F 60 56 $80.00
1159F 893 792 $0.00
3725F 921 819 $0.00
D0220 Intraoral - periapical first radiographic image 290 283 $0.00
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 110 87 $0.00
1160F 789 697 $0.00
G0444 Annual depression screening, 5 to 15 minutes 610 554 $0.00
D1110 Prophylaxis - adult 1,309 1,305 $0.00
D0274 Bitewings - four radiographic images 411 411 $0.00
4004F 28 25 $0.00
D1120 Prophylaxis - child 232 232 $0.00
D0191 405 404 $0.00
D0330 Panoramic radiographic image 40 40 $0.00
1033F 38 37 $0.00
1032F 34 29 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 35 29 $0.00
99173 12 12 $0.00
92552 13 13 $0.00
3008F 1,343 1,182 $0.00
D0210 Intraoral - complete series of radiographic images 85 84 $0.00
D0150 Comprehensive oral evaluation - new or established patient 271 271 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 701 633 $0.00
1031F 388 355 $0.00
D0120 Periodic oral evaluation - established patient 669 666 $0.00
1126F 472 429 $0.00
D1206 Topical application of fluoride varnish 809 809 $0.00
D1330 1,156 1,144 $0.00
D0272 Bitewings - two radiographic images 116 115 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16 14 $0.00
D0140 Limited oral evaluation - problem focused 27 27 $0.00