Physician
Rural Health Corporation of Northeastern Pennsylvania
Rural Health Corporation of Northeastern Pennsylvania was paid $902K by Medicaid between Jan 2018 and Nov 2024, across 24 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 infoRURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
MONROE TOWNSHIP, PA 18636
MONROE TOWNSHIP, PA 18636
33aNPI1629170980assigned 09/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$902K
24GClaims11,956
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#66 of 2,756
Median peer was paid$19K
This provider vs. median47×
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 | 577 | $64K | |
| 2019 | 580 | $66K | |
| 2020 | 1,022 | $76K | |
| 2021 | 3,941 | $256K | |
| 2022 | 1,616 | $113K | |
| 2023 | 2,119 | $147K | |
| 2024incomplete | 2,101 | $181K |
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% | 6,991 | 6,222 | $902K |
| 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% | 587 | 557 | $326.52 |
| 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% | 2,084 | 1,869 | $70.00 |
| D0274 | Bitewings - four radiographic images | 0% | 244 | 237 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 441 | 428 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 16 | 15 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 144 | 143 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 67 | 64 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 122 | 113 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 34 | 33 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 50 | 50 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 12 | 12 | $0.00 |
12 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 14 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 12 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 496 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 13 | $0.00 |
| 90688 | 0% | 170 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 235 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 79 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 66 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 13 | $0.00 |
| 90656 | 0% | 27 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 27 | $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 officialISKRA, MATTHEW (CFO)
Parent organizationRURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
| Provider | Location | Paid |
|---|---|---|
| Rural Health Corporation of Northeastern Pennsylvania | Edwardsville, PA | $970K |
| Rural Health Corporation of Northeastern Pennsylvania | Freeland, PA | $821K |
| Rural Health Corporation of Northeastern Pennsylvania | Wilkes-barre, PA | $728K |
| Rural Health Corporation of Northeastern Pennsylvania | Hazleton, PA | $664K |
| Rural Health Corporation of Northeastern Pennsylvania | Shickshinny, PA | $413K |
| Rural Health Corporation of Northeastern Pennsylvania | Falls, PA | $223K |
| Rural Health Corporation of Northeastern Pennsylvania | Wilkes Barre, PA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.