Clinic
Charles Cole Memorial Hospital
Charles Cole Memorial Hospital was paid $3.87M by Medicaid between Jan 2018 and Dec 2024, across 57 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
PORT ALLEGANY, PA 16743
PORT ALLEGANY, PA 16743
33aNPI1629191358assigned 04/09/2007
33bProvider typeRural Health Clinic/Center
28Total paid$3.87M
24GClaims57,890
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Pennsylvania
Rank by total paid#5 of 43
Median peer was paid$383K
This provider vs. median10×
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 | 1,314 | $59K | |
| 2019 | 1,296 | $58K | |
| 2020 | 3,868 | $250K | |
| 2021 | 15,278 | $986K | |
| 2022 | 12,837 | $876K | |
| 2023 | 12,378 | $810K | |
| 2024incomplete | 10,919 | $825K |
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% | 23,288 | 20,428 | $3.86M |
| 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% | 6,652 | 6,097 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,120 | 2,001 | $2K |
| 92551 | <1% | 1,909 | 1,896 | $703.48 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 482 | 478 | $611.26 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,082 | 1,077 | $556.58 |
| 90670 | <1% | 360 | 359 | $528.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,169 | 1,163 | $466.83 |
| 3074F | <1% | 1,961 | 1,890 | $260.00 | |
| 3078F | <1% | 1,693 | 1,635 | $220.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,244 | 1,224 | $134.68 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,025 | 936 | $126.40 |
45 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,143 | $118.53 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 620 | $60.88 |
| 3079F | <1% | 478 | $40.00 | |
| 3075F | <1% | 131 | $10.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,253 | $0.03 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 756 | $0.00 |
| 90723 | 0% | 189 | $0.00 | |
| 96127 | 0% | 798 | $0.00 | |
| 96161 | 0% | 377 | $0.00 | |
| 90680 | 0% | 118 | $0.00 | |
| 90647 | 0% | 204 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 3,192 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 114 | $0.00 |
| 90677 | 0% | 123 | $0.00 | |
| 90674 | 0% | 141 | $0.00 | |
| 90651 | 0% | 28 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 30 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 205 | $0.00 |
| 90474 | 0% | 68 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 93 | $0.00 |
| 85018 | 0% | 90 | $0.00 | |
| 90686 | 0% | 145 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 13 | $0.00 |
| 90682 | 0% | 24 | $0.00 | |
| 90734 | 0% | 41 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 128 | $0.00 |
| 3288F | 0% | 344 | $0.00 | |
| 99173 | 0% | 1,778 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 201 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 20 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 50 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 61 | $0.00 |
| 90633 | 0% | 38 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 82 | $0.00 |
| 90715 | 0% | 24 | $0.00 | |
| 81002 | 0% | 61 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 47 | $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% | 76 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 16 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 358 | $0.00 |
| 83655 | 0% | 57 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 128 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 27 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $0.00 |
| 90661 | 0% | 23 | $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 | Coudersport, PA | $6.41M |
| 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.