Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

The Wright Center Medical Group

The Wright Center Medical Group was paid $106.10M by Medicaid between Jun 2019 and Dec 2024, across 250 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.

33Billing provider infoTHE WRIGHT CENTER MEDICAL GROUP
SCRANTON, PA 18505
33aNPI1649836941assigned 05/13/2019
33bProvider typeRheumatology Physician
28Total paid$106.10M
24GClaims1,249,699
24DCodes billed250
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers

Next to other Rheumatology Physician providers in Pennsylvania

Rank by total paid#1 of 77
Median peer was paid$7K
This provider vs. median15,964×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2019112,707$6.54M
2020281,126$15.48M
2021301,923$20.43M
2022162,582$20.84M
2023179,017$21.14M
2024incomplete212,344$21.67M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 94% 303,220 220,083 $100.11M
G9012 Other specified case management service not elsewhere classified 4.5% 17,472 17,242 $4.72M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 10,913 3,327 $191K
99223 Prolong inpt eval add15 m <1% 3,374 3,162 $164K
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% 100,953 87,578 $153K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 6,362 6,120 $87K
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% 39,447 36,008 $71K
0012A <1% 2,121 2,102 $65K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 7,200 1,908 $59K
99238 Hospital discharge day management, 30 minutes or less <1% 4,209 3,896 $50K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 4,902 4,707 $41K
0011A <1% 2,389 2,365 $40K
238 more codes
99222 Initial hospital care, per day, moderate complexity <1% 695 $35K
99204 Doctor's office visit, new patient (more involved) <1% 2,591 $25K
80305 <1% 23,484 $24K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 3,475 $21K
0002A <1% 510 $20K
0064A <1% 1,240 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,168 $17K
99441 <1% 775 $16K
99203 Doctor's office visit, new patient (routine) <1% 4,579 $14K
0001A <1% 554 $14K
99385 <1% 1,976 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,169 $8K
0071A <1% 213 $8K
G0467 Community health center visit, returning patient <1% 20,565 $8K
0072A <1% 186 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,941 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 2,017 $7K
0134A <1% 576 $6K
99442 <1% 670 $6K
90734 <1% 2,361 $5K
99386 <1% 888 $5K
94760 <1% 3,466 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13,061 $4K
82947 <1% 10,701 $4K
0003A <1% 89 $2K
36415 Collection of venous blood by venipuncture <1% 1,950 $2K
90670 <1% 2,895 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 13,472 $2K
0013A <1% 96 $2K
91322 <1% 214 $2K
92552 <1% 9,953 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 3,690 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,118 $2K
3046F <1% 1,606 $2K
3044F <1% 2,805 $2K
90461 <1% 7,295 $1K
81025 <1% 6,361 $1K
90716 <1% 418 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,294 $1K
90651 <1% 2,711 $1K
36416 <1% 8,875 $1K
99383 <1% 519 $983.65
90633 <1% 2,313 $973.28
2026F <1% 1,114 $850.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv <1% 1,522 $838.19
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 7,338 $783.08
2022F <1% 998 $758.77
90715 <1% 2,724 $745.84
90686 <1% 6,592 $745.27
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 145 $733.12
90710 <1% 649 $715.70
96160 <1% 4,587 $714.49
99173 <1% 8,119 $713.82
90707 <1% 441 $710.67
99384 <1% 378 $694.94
G0444 Annual depression screening, 5 to 15 minutes <1% 1,850 $694.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 773 $651.69
G8783 Normal blood pressure reading documented, follow-up not required <1% 34,709 $642.79
99496 <1% 543 $636.19
83655 <1% 590 $636.19
0124A <1% 99 $576.00
90723 <1% 1,085 $506.06
90680 <1% 1,324 $472.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,347 $432.76
90696 <1% 391 $397.58
G0466 Community health center visit, new patient <1% 135 $366.56
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 466 $357.35
G2089 Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% <1% 446 $347.46
99051 <1% 9,007 $341.18
90698 <1% 933 $314.04
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given <1% 3,053 $288.73
96127 <1% 11,827 $263.36
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 7,435 $235.64
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 6,053 $199.97
3051F <1% 183 $130.00
91320 <1% 147 $95.09
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month <1% 1,280 $83.98
3052F <1% 518 $70.00
90648 <1% 1,845 $68.22
99220 <1% 205 $57.98
90480 <1% 446 $40.00
90674 <1% 138 $28.26
90744 <1% 701 $26.90
90756 <1% 116 $20.39
3078F <1% 17,560 $20.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 1,566 $12.25
3074F <1% 19,815 $10.00
3077F <1% 4,208 $10.00
83036 Hemoglobin; glycosylated (A1C) <1% 6,858 $8.25
81002 <1% 996 $6.53
86580 0% 809 $0.00
93000 0% 1,789 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 9,784 $0.00
D0272 Bitewings - two radiographic images 0% 212 $0.00
99406 0% 1,393 $0.00
3079F 0% 8,620 $0.00
1006F 0% 53 $0.00
91306 0% 962 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 0% 16,804 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 5,857 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 6,329 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 1,237 $0.00
96161 0% 661 $0.00
85013 0% 682 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 15,335 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 0% 932 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 0% 3,396 $0.00
G8432 Depression screening not documented, reason not given 0% 16,410 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 5,783 $0.00
D0120 Dental checkup, returning patient 0% 2,455 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 19,420 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 213 $0.00
85018 0% 1,271 $0.00
90660 0% 15 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 17,462 $0.00
3080F 0% 2,588 $0.00
D0150 Comprehensive oral evaluation - new or established patient 0% 2,180 $0.00
90620 0% 463 $0.00
D1206 Topical application of fluoride varnish 0% 1,678 $0.00
1036F 0% 17,338 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 245 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 2,578 $0.00
91301 0% 3,911 $0.00
3075F 0% 4,849 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 0% 302 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 3,496 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 1,091 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 0% 29 $0.00
G0008 Administration of influenza virus vaccine 0% 1,010 $0.00
90677 0% 1,008 $0.00
D7140 Extraction, erupted tooth or exposed root 0% 1,791 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 41 $0.00
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 0% 1,450 $0.00
D0601 0% 162 $0.00
D2331 0% 204 $0.00
G9907 Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason) 0% 914 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 4,023 $0.00
D5899 0% 352 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 0% 175 $0.00
3017F 0% 10,109 $0.00
0240U 0% 257 $0.00
D2330 0% 369 $0.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 0% 634 $0.00
D0603 0% 147 $0.00
99495 0% 144 $0.00
99217 0% 40 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 136 $0.00
D0140 Limited oral evaluation - problem focused 0% 347 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 0% 999 $0.00
90732 0% 85 $0.00
D1330 0% 237 $0.00
91307 0% 349 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 54 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 0% 10,288 $0.00
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 0% 42 $0.00
3352F 0% 1,749 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 160 $0.00
94761 0% 26 $0.00
87807 0% 24 $0.00
Q0222 Injection, bebtelovimab, 175 mg 0% 175 $0.00
D2335 0% 100 $0.00
99407 0% 30 $0.00
90656 0% 627 $0.00
3353F 0% 13 $0.00
90688 0% 34 $0.00
D0602 0% 104 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 15 $0.00
99443 0% 28 $0.00
99381 0% 14 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 13 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 3,967 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 2,320 $0.00
G9920 Screening performed and negative 0% 10,093 $0.00
D0330 Panoramic radiographic image 0% 1,960 $0.00
D0190 0% 240 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 0% 3,245 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 913 $0.00
4004F 0% 26,373 $0.00
99188 0% 350 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 1,231 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 0% 713 $0.00
D1110 Prophylaxis - adult 0% 4,104 $0.00
G9919 Screening performed and positive and provision of recommendations 0% 7,390 $0.00
D1120 Dental cleaning, child 0% 967 $0.00
G8482 Influenza immunization administered or previously received 0% 6,478 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 38,409 $0.00
G9904 Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) 0% 774 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 0% 4,493 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 1,140 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 1,043 $0.00
G2104 Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed 0% 688 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 14,336 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 3,555 $0.00
D9110 0% 802 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 1,580 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 0% 91 $0.00
90662 0% 223 $0.00
3015F 0% 406 $0.00
91300 0% 1,338 $0.00
D0274 Bitewings - four radiographic images 0% 2,935 $0.00
G9909 Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason) 0% 917 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 0% 146 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 4,384 $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% 1,207 $0.00
91313 0% 415 $0.00
90380 0% 13 $0.00
90681 0% 41 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 15,792 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 3,908 $0.00
G2102 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed 0% 1,008 $0.00
G9905 Patient not screened for tobacco use 0% 5,250 $0.00
80061 Lipid panel 0% 105 $0.00
G8543 Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given 0% 570 $0.00
90700 0% 578 $0.00
G8540 Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter 0% 168 $0.00
90750 0% 105 $0.00
G8421 Bmi not documented and no reason is given 0% 3,244 $0.00
99490 Ccm add 20min 0% 171 $0.00
D0220 Intraoral - periapical first radiographic image 0% 1,633 $0.00
87631 0% 16 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 21 $0.00
90746 0% 15 $0.00
99215 Doctor's office visit, returning patient (complex) 0% 327 $0.00
91312 0% 69 $0.00
S9470 Nutritional counseling, dietitian visit 0% 46 $0.00
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 0% 68 $0.00
99382 0% 59 $0.00
99177 0% 104 $0.00
90713 0% 109 $0.00
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 0% 169 $0.00
D2332 0% 125 $0.00
90682 0% 61 $0.00
99491 Ccm add 20min 0% 50 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 0% 74 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 0% 38 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 0% 12 $0.00
90621 0% 14 $0.00
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 0% 47 $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 officialYASTREMSKI, SANDRA (SVP, CFO)