Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › E STROUDSBURG › FAMILY CARE CENTERS INC.

FAMILY CARE CENTERS INC.

NPI: 1669563037 · E STROUDSBURG, PA 18301 · Hematology & Oncology Physician · NPI assigned 09/28/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DEMOPOULOS, JAMES controls 14+ related entities in our dataset. Read more

$11.08M
Total Medicaid Paid
311,595
Total Claims
297,288
Beneficiaries
145
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEMOPOULOS, JAMES (SR VP/COO)
NPI Enumeration Date09/28/2006

Related Entities

Other providers sharing the same authorized official: DEMOPOULOS, JAMES

ProviderCityStateTotal Paid
HAZLETON PROFESSIONAL SERVICES HAZLETON PA $8.26M
FAMILY CARE CENTERS INC EAST STROUDSBURG PA $6.09M
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. POTTSVILLE PA $2.41M
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. POTTSVILLE PA $1.15M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $225K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $190K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $157K
LEHIGH VALLEY PHYSICIAN GROUP WHITEHALL PA $107K
LEHIGH VALLEY PHYSICIAN GROUP DICKSON CITY PA $17K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $15K
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $7K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $6K
LEHIGH VALLEY PHYSICIAN GROUP SCRANTON PA $4K
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $479.15

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,708 $118K
2019 9,018 $316K
2020 18,708 $702K
2021 74,437 $2.74M
2022 75,494 $2.58M
2023 71,620 $2.49M
2024 57,610 $2.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52,424 50,191 $2.78M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65,222 60,482 $2.67M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,958 9,777 $924K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,232 8,852 $881K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,665 7,490 $666K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,498 5,354 $405K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,487 2,460 $200K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,787 1,685 $163K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,006 5,967 $141K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21,054 19,297 $133K
92551 13,288 12,889 $126K
90686 12,638 12,532 $123K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,203 2,166 $117K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,166 5,142 $116K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,996 3,862 $116K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,135 3,080 $113K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,768 4,680 $91K
90651 2,718 2,690 $80K
99215 Prolong outpt/office vis 1,118 955 $74K
T1001 Nursing assessment / evaluation 328 328 $69K
90472 Immunization administration, each additional vaccine (list separately) 1,454 1,448 $52K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,765 1,729 $43K
90670 4,781 4,731 $43K
90460 Immunization administration through 18 years of age via any route, first or only component 1,609 1,407 $42K
99460 421 416 $39K
99174 4,134 4,050 $39K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,600 3,248 $38K
90715 2,470 2,424 $35K
90732 500 500 $34K
99188 1,439 1,429 $32K
93000 1,877 1,830 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,326 2,295 $32K
90680 3,322 3,293 $32K
90633 3,031 3,005 $31K
59025 Fetal non-stress test 2,067 1,491 $30K
90620 983 959 $26K
73630 1,180 858 $25K
90697 1,720 1,693 $19K
90677 2,022 1,984 $18K
76819 Fetal biophysical profile; without non-stress testing 156 109 $17K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 12 12 $16K
90698 3,235 3,223 $15K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 103 48 $14K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 115 107 $14K
99385 633 629 $14K
99232 Subsequent hospital care, per day, moderate complexity 416 164 $14K
99173 5,505 5,278 $14K
99238 Hospital discharge day management, 30 minutes or less 416 409 $13K
G0008 Administration of influenza virus vaccine 1,203 1,182 $12K
73610 390 292 $12K
90656 1,302 1,302 $11K
83655 1,042 1,029 $11K
76813 86 86 $11K
99386 459 457 $11K
99205 Prolong outpt/office vis 91 90 $11K
94727 1,210 1,186 $11K
T1002 Rn services, up to 15 minutes 129 77 $10K
90744 1,158 1,157 $10K
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 618 598 $10K
90750 452 442 $9K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 42 42 $9K
94060 1,235 1,208 $8K
90619 876 862 $8K
92557 281 278 $8K
99383 72 71 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 53 52 $7K
94729 1,246 1,220 $7K
90710 715 708 $7K
90734 266 262 $7K
90461 205 171 $6K
81025 1,354 1,328 $6K
69210 547 467 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 43 43 $5K
90696 510 503 $5K
72110 99 99 $4K
93295 142 137 $4K
85018 1,933 1,883 $4K
3078F 520 510 $4K
92567 301 297 $3K
96161 1,609 1,568 $3K
0124A 73 71 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 114 109 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 111 109 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $3K
3074F 480 473 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 27 27 $3K
93296 190 188 $3K
59430 38 37 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 275 252 $3K
90716 237 237 $2K
90707 223 223 $2K
93016 100 97 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 894 851 $2K
95251 75 75 $2K
76818 17 12 $2K
31575 45 45 $2K
80305 145 145 $2K
91320 365 360 $2K
90739 216 214 $2K
99233 Prolong inpt eval add15 m 44 14 $2K
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $2K
93018 118 115 $2K
86580 588 550 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 123 55 $1K
99384 25 25 $1K
99464 25 25 $1K
99243 12 12 $1K
96127 1,511 1,486 $1K
72170 55 55 $1K
76801 12 12 $975.42
90474 40 40 $926.40
81003 232 212 $715.41
3079F 75 75 $675.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 16 $642.07
0112A 13 13 $618.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 189 186 $537.27
96160 464 459 $502.58
95806 27 26 $494.91
WA061 60 60 $489.00
91319 35 35 $465.00
51798 40 29 $446.88
51701 15 14 $418.67
72040 13 12 $406.14
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 13 $394.80
3044F 36 36 $285.00
99462 13 13 $283.42
99442 17 17 $270.24
99231 Subsequent hospital care, per day, straightforward or low complexity 15 12 $260.33
93298 13 13 $247.63
91318 16 16 $240.00
83036 Hemoglobin; glycosylated (A1C) 20 19 $132.64
3046F 13 13 $130.00
92552 12 12 $110.40
99443 13 12 $98.72
99441 20 12 $95.26
82044 15 15 $73.56
3075F 12 12 $50.00
80061 Lipid panel 1,201 1,164 $16.10
85013 363 354 $0.00
3048F 79 78 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 108 90 $0.00
99024 19 13 $0.00
90746 16 16 $0.00
94726 15 15 $0.00
G9919 Screening performed and positive and provision of recommendations 13 13 $0.00